Lembar kerja Prioritas & delegasi dengan jawaban

Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?

1. AA low serum creatinine
2. BA serum sodium of 160 mEq/L
3. CA raised serum creatinine
4. DA platelet count of 900,000/mm³

In nursing management, what is an “assignment”?

1. AHanding legal accountability for a patient over to a nursing colleague
2. BGiving staff care activities that are within their own role and scope
3. CA written order from a prescriber for a treatment
4. DAsking a colleague to do a task outside their usual scope

Which resting heart rate is normal for a newborn?

1. A80/min
2. B60/min
3. C210/min
4. D140/min

Setelah serah terima, pasien mana yang harus ditemui perawat lebih dulu?

1. APasien diabetes dengan glukosa sebelum sarapan 160 mg/dL (8,9 mmol/L)
2. BPasien pneumonia, suhu 38,2 °C, yang mendapat antipiretik 30 menit yang lalu
3. CPasien asma yang menggunakan otot bantu napas dan SpO₂ 88%
4. DPasien dua hari setelah penggantian sendi panggul dengan nyeri 5/10

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with type 2 diabetes who needs insulin teaching before discharge
2. BA patient after a hip replacement
3. CA patient with a fractured wrist
4. DA patient with a sealed radioactive implant for cervical cancer

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. ADelirium, which needs the cause found quickly
2. BNormal aging that needs no action
3. CLong-standing dementia that is expected
4. DA personality change that is permanent and expected

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AThe suction is set too low and needs to be turned up
2. BThe lung has fully re-expanded, so the drain is ready to come out
3. CAn air leak in the patient or the system that needs checking
4. DThe drain is working normally and no action is needed

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

1. AFlush the eye with plenty of water or saline straight away
2. BRub the eye gently with a clean tissue to remove the chemical
3. CCover the eye with a dry patch and wait for the provider
4. DGive antibiotic eye drops first