Lembar kerja Prioritas & delegasi dengan jawaban

Pada henti jantung dewasa, urutan mana yang digunakan bantuan hidup dasar saat ini?

1. AA-B-C: jalan napas, napas buatan, kompresi
2. BA-C-B: jalan napas, kompresi, napas buatan
3. CB-C-A: napas buatan, kompresi, jalan napas
4. DC-A-B: kompresi, jalan napas, napas buatan

Who is responsible for developing the nursing plan of care?

1. AThe ward clerk
2. BThe LPN/LVN alone
3. CThe registered nurse
4. DThe nursing assistant

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. AHigh, suggesting fluid overload
2. BLow and needing to be reported
3. CNormal for an adult at rest
4. DExpected after drinking fluids

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AIncrease the infusion rate to overcome the resistance
2. BStop the infusion and remove the cannula
3. CApply a tight bandage over the site to reduce swelling
4. DFlush the cannula hard to clear the blockage

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AIgnore it and hope they sort it out
2. BChange both of their assignments without any discussion
3. CReport them to human resources at once
4. DMeet both of them privately to hear each side

Di unit penyakit dalam campuran, pasien mana yang harus ditemui perawat lebih dulu?

1. APasien dengan sakit kepala tegang ringan yang meminta asetaminofen
2. BPasien yang meminta informasi tertulis tentang pemulangan besok
3. CPasien hipertensi dengan tekanan darah 136/84 mmHg
4. DPasien depresi yang telah memberikan barang-barangnya dan memiliki rencana bunuh diri

A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?

1. ALet the nurse work, but only with stable patients
2. BRemove the nurse from patient care and report it according to policy
3. CWait until the end of the shift and then discuss the concern with the nurse privately
4. DAsk the nurse to drink coffee and then start work

On an addiction unit, which patient should the nurse assess first?

1. AAsking for an extra blanket and a hot drink
2. BAnxious, with goose bumps, stomach cramps and loose stools
3. CYawning, with a runny nose and dilated pupils
4. DDrowsy with pinpoint pupils and a respiratory rate of 7/min