Lembar kerja Prioritas & delegasi dengan jawaban

In delegation, what does the “right task” mean?

1. AThe task is the one the nurse likes least
2. BThe task is one that may be delegated for this patient
3. CThe task has been requested by the patient or the patient’s family
4. DThe task can be finished in under ten minutes

What are Kussmaul respirations?

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

Tugas mana yang harus dipegang sendiri oleh perawat terdaftar dan tidak didelegasikan kepada tenaga asisten tanpa lisensi?

1. AMengukur dan mencatat asupan dan keluaran cairan
2. BMemandikan pasien yang stabil
3. CPengkajian awal pasien yang baru masuk
4. DMembantu pasien yang stabil berjalan ke kamar mandi dan kembali

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

1. AOffer a meal and fluids
2. BMassage the fundus
3. CEncourage the patient to rest quietly
4. DApply an ice pack to the perineum

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient with C. difficile diarrhea
2. BA patient with an infected, draining leg wound
3. CA patient after a knee replacement with no signs of infection
4. DA patient with influenza

Pasien mana yang dapat dengan aman ditemui perawat terakhir?

1. APasien dengan ronki baru dan dahak berbuih merah muda
2. BPasien dengan sakit kepala hebat mendadak
3. CPasien dua jam setelah operasi dengan denyut jantung naik dari 88 menjadi 118/menit
4. DPasien PPOK dengan oksigen 1 L/menit, SpO₂ 90% (target 88–92%), berbicara dalam kalimat penuh

A patient admitted with suspected appendicitis says the pain suddenly got better, but now the abdomen is rigid and the heart rate is rising. What does this suggest?

1. AThe appendix may have ruptured, causing peritonitis
2. BThe appendicitis is getting better without surgery
3. CThe pain has moved to a different, harmless place
4. DThe patient’s analgesic has finally started to work

A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?

1. AAsk the family to persuade the patient until they agree
2. BRespect the refusal, check the patient understands the risks and inform the provider
3. CTell the patient that refusing treatment is not allowed in hospital
4. DGive the transfusion while the patient is asleep, because saving their life comes first