Lembar kerja Dasar-dasar keperawatan dengan jawaban

Which physical assessment technique means listening to body sounds with a stethoscope?

1. APalpation
2. BInspection
3. CPercussion
4. DAuscultation

Before moving a patient, what should the nurse do with the bed height?

1. ARaise it as high as it will go
2. BLower it as far as it will go to protect the nurse's back
3. CAdjust it to about the nurse's waist height
4. DLeave it wherever it was

How should a mistake in a handwritten nursing record be corrected?

1. ATear out the page and rewrite the whole entry
2. BScribble over it until it cannot be read
3. CDraw a single line through it, then sign and date the correction
4. DCover it with correction fluid and write the right entry over it

Why are older adults at higher risk of dehydration?

1. ATheir sense of thirst is often reduced
2. BThey lose less water through the skin
3. CThey usually drink more than younger adults
4. DTheir kidneys hold on to more water

A small blood spill is found on the ward floor. What is the correct approach?

1. AWear gloves and an apron and clean it with an approved disinfectant per policy
2. BLeave it for the domestic staff to clean at the end of the day
3. CWipe it up with a paper towel without gloves, then wash your hands well afterwards
4. DCover it with a sheet so no one steps in it

During a manual blood pressure measurement in an adult, which point is usually recorded as the diastolic pressure?

1. AWhen the sounds disappear completely
2. BWhen the sounds become loudest
3. CWhen the first clear tapping sound is heard
4. DWhen the cuff is fully deflated

After treatment for hypoglycaemia a patient's glucose is now 5,2 mmol/L (94 mg/dL) and the next meal is hours away. What should the nurse do next?

1. AGive a second glucose drink every 15 minutes
2. BGive another dose of insulin to balance out the extra sugar
3. CGive nothing more, as the glucose is now normal
4. DGive a longer-acting carbohydrate, such as a sandwich

A patient with COPD and a known risk of hypercapnia is acutely breathless with an SpO₂ of 82%. What is correct?

1. AGive the highest oxygen flow possible and aim for 100%
2. BWithhold oxygen completely, because oxygen is dangerous in COPD
3. CWait for an arterial blood gas result before giving any oxygen at all
4. DGive controlled oxygen, e.g. via a Venturi mask, aiming for 88–92%