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Nama: ____________________ Tanggal: ____________
1.Mudah
Dalam sistem triase tiga tingkat, pasien dengan pergelangan kaki terkilir, tanda vital normal, dan nyeri ringan biasanya digolongkan sebagai:
AMendesak
BEkspektan
CGawat darurat
DTidak mendesak
2.Mudah
In the ABC framework, which finding is mainly a breathing problem?
AHeart rate 150/min with a low blood pressure and cold skin
BA blood glucose of 60 mg/dL (3,3 mmol/L)
CShallow breaths with an SpO₂ of 85% on room air
DStridor caused by a swollen throat
3.Mudah
Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?
ARespiratory rate of 22/min or more
BBlood glucose above 100 mg/dL
CTemperature below 36,5 °C on one reading
DHeart rate below 60/min
4.Sedang
A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?
ADark purple or black
BSlightly swollen
CMoist and pink-red
DA little bleeding when cleaned
5.Sedang
Seorang perawat menerima empat lampu panggilan sekaligus. Pasien mana yang didatangi perawat lebih dulu?
APasien yang berkata, "Saya tidak bisa menarik napas."
BPasien yang meminta obat nyeri untuk nyeri 4/10
CPasien yang pompa infusnya berbunyi karena kantong cairan rumatan sudah habis
DPasien yang bertanya jam berapa dokter akan datang
6.Sedang
Before giving a medication to a child, which check is especially important?
AThat the parent agrees with the time it is given
BThat the child likes the taste of the drug
CThat the dose is correct for the child’s weight
DThat the medicine cup is the child’s favorite color
7.Sulit
A patient on airborne precautions for suspected tuberculosis must go to the radiology department. What should the patient wear during transport?
ANothing, if the trip is short
BA fit-tested N95 respirator
CA surgical mask
DGloves and a gown only
8.Sulit
Which assignment by the charge nurse should be changed?
AAn LPN/LVN is assigned to admit a new patient from the emergency department
BAn RN is assigned to a patient receiving a blood transfusion
CA nursing assistant is assigned to help several stable patients with their meals
DAn LPN/LVN is assigned to give oral medications to stable patients
Kunci jawaban
1. D · Tidak mendesak
2. C · Shallow breaths with an SpO₂ of 85% on room air
3. A · Respiratory rate of 22/min or more
4. A · Dark purple or black
5. A · Pasien yang berkata, "Saya tidak bisa menarik napas."
6. C · That the dose is correct for the child’s weight
7. C · A surgical mask
8. A · An LPN/LVN is assigned to admit a new patient from the emergency department
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