Lembar kerja Dasar-dasar keperawatan dengan jawaban

On admission to a ward, what should a patient be shown early for their safety?

1. AWhere the drug cupboard keys are kept
2. BHow to use the call bell
3. CWhere the staff room is
4. DHow to read their medical notes

A core body temperature below 35 °C is called:

1. ANormothermia
2. BPyrexia
3. CHyperthermia
4. DHypothermia

Where is the apical pulse best heard in an adult?

1. AAt the second intercostal space just right of the sternum
2. BAt the fifth intercostal space in the left midclavicular line
3. COver the lower end of the sternum in the midline
4. DAt the left side of the neck beside the windpipe

A goal states: "The patient will report pain of 3/10 or less within one hour of analgesia." After one hour the patient reports 6/10. What should the nurse do?

1. ARecord the goal as not met and review the plan
2. BRecord the goal as met, as the pain has gone down
3. CWait until the next day to evaluate again
4. DChange the goal to 6/10 or less so that it counts as met

Which nursing record entry is the best example of objective documentation?

1. A"Seemed to enjoy the meal."
2. B"Ate well, as usual."
3. C"Had a good appetite today and enjoyed lunch."
4. D"Ate half of lunch; drank 200 mL of water."

How should a patient walk with a standard (non-wheeled) walking frame?

1. APush the frame along the floor while walking quickly
2. BLift the frame forward, then step into it
3. CLean forward on the frame and slide the feet
4. DStep forward first, then pull the frame after

Seorang pasien memerlukan penggantian balutan yang menyakitkan. Kapan waktu terbaik memberikan analgesik oral yang diresepkan?

1. ACukup awal sebelum prosedur agar mencapai efek puncaknya
2. BHanya jika pasien menunjukkan tanda nyeri atau berteriak selama prosedur
3. CPada waktu yang sama keesokan harinya
4. DSegera setelah penggantian balutan

Seorang pasien yang diselamatkan dari kebakaran rumah memiliki hasil oksimetri nadi 99% tetapi mengantuk dan sakit kepala. Mengapa hasil itu bisa menenangkan secara keliru?

1. ADenyut jantung pasien terlalu cepat bagi alat itu untuk memberi hasil yang akurat
2. BAsap membuat oksimeter membaca terlalu rendah
3. CKarbon monoksida yang terikat hemoglobin dibaca oksimeter sebagai oksigen
4. DLuka bakar membuat kulit menghantarkan cahaya lebih baik