Lembar kerja Prioritas & delegasi dengan jawaban

Which patient concern belongs to the esteem level of Maslow’s hierarchy?

1. AMissing friends from home
2. BWorry about body image after a mastectomy
3. CThirst after a long period of fasting before a test
4. DFear of slipping in the shower

In the ABC framework, which finding is mainly a breathing problem?

1. AStridor caused by a swollen throat
2. BHeart rate 150/min with a low blood pressure and cold skin
3. CShallow breaths with an SpO₂ of 85% on room air
4. DA blood glucose of 60 mg/dL (3,3 mmol/L)

Which task should the registered nurse not delegate to a nursing assistant?

1. AGiving a bed bath to a stable patient
2. BMaking an occupied bed
3. CWalking a stable patient up and down the corridor after lunch
4. DEvaluating whether the patient understood discharge teaching

A drowsy patient has an arterial blood gas with pH 7,30, PaCO₂ 58 mmHg (7,7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?

1. ALoss of bicarbonate from the bowel through severe diarrhea
2. BHyperventilation caused by anxiety
3. CToo much bicarbonate from antacids
4. DPoor ventilation causing carbon dioxide to build up

Which newborn finding needs prompt reporting?

1. ABluish hands and feet in the first hours
2. BMilia (small white spots) on the nose
3. CJaundice that appears within the first 24 hours
4. DMild jaundice that first appears on the third day

Seorang perawat mendelegasikan pengukuran glukosa darah kepada asisten yang terlatih tetapi tidak pernah menanyakan hasilnya. Hak pendelegasian mana yang tidak terpenuhi?

1. APengawasan dan evaluasi yang benar
2. BOrang yang benar untuk tugas tersebut
3. CTugas yang benar untuk situasi tersebut
4. DKeadaan yang benar

A patient was knocked out briefly in a fall, then woke and talked normally. Two hours later the patient becomes drowsy and one pupil is larger. What is the most likely cause?

1. ANormal tiredness after a fall
2. BAn epidural hematoma
3. CA mild concussion that is settling
4. DLow blood sugar from missing a meal

Anak mana yang harus ditemui perawat lebih dulu?

1. AAnak usia sekolah dengan gips di kaki yang meminta minum
2. BRemaja dengan asma yang puncak arus ekspirasinya 90% dari nilai terbaik pribadinya
3. CBalita dengan suhu 38,4 °C yang sedang bermain dengan mainan
4. DBayi dengan RSV yang mengalami napas cuping hidung, retraksi dada, dan SpO₂ 89%