Lembar kerja Prioritas & delegasi dengan jawaban

What is the main purpose of a rapid response team?

1. ATo transport stable patients between hospital units
2. BTo review medication errors and falls after they have happened on the unit
3. CTo handle complaints from patients and families
4. DTo assess and treat a deteriorating patient before an arrest happens

What are Kussmaul respirations?

1. AShort pauses in breathing during normal sleep
2. BDeep, rapid breathing seen in metabolic acidosis such as DKA
3. CNoisy, high-pitched breathing caused by a blocked upper airway
4. DSlow, shallow breathing after an opioid overdose

In the AVPU scale, what does the P mean?

1. APain score below 5
2. BPupils equal and reactive
3. CResponds only to pain
4. DPulse present and regular

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AChecking the tube’s position
2. BAssessing the drainage for blood
3. CGiving mouth care
4. DIrrigating the tube when it blocks

Instruksi kepada asisten keperawatan mana yang paling jelas?

1. A"Ukur tekanan darah Pak Lee pukul 10,00 dan segera beri tahu saya bila sistoliknya di bawah 100."
2. B"Kabari saya jika ada yang tampak salah pada Pak Lee selama Anda di dalam."
3. C"Perhatikan Pak Lee pagi ini dan kabari saya bagaimana keadaannya."
4. D"Lakukan tanda vital Pak Lee kapan saja sebelum makan siang dan tuliskan di bagan untuk saya."

Dengan menggunakan Emergency Severity Index, pasien mana yang menerima tingkat kegawatan tertinggi?

1. APasien dengan nyeri dada dan tanda vital normal
2. BPasien tidak responsif dengan napas megap-megap yang tidak teratur
3. CPasien dengan kemungkinan fraktur pergelangan kaki
4. DPasien dengan nyeri tenggorok selama tiga hari dan tanda vital normal

A medical-unit nurse is floated to intensive care and given a patient on a ventilator, which the nurse has never managed. What is the best response?

1. ARefuse to work and go home, because the assignment is unsafe
2. BLeave the intensive care unit and go back to the medical unit without telling anyone
3. CTell the charge nurse about the gap, accept tasks within competence and ask for support
4. DAccept the full assignment without comment to avoid conflict

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. AUse the room number as the main identifier
2. BCheck two identifiers against the wristband and the medication record
3. CAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
4. DAsk a nursing assistant which patient is which