Lembar kerja Prioritas & delegasi dengan jawaban

Which three things does START triage check in a non-walking adult?

1. ARespirations, perfusion and mental status
2. BPulse, blood pressure and body temperature
3. CAirway, blood glucose and pupils
4. DPain score, mobility and age

In the FAST stroke check, what does the T stand for?

1. ATremor of the hands
2. BTongue movement
3. CTemperature
4. DTime to call emergency services

Which term describes a patient who is unable to understand and decide about their own care?

1. AProviding valid informed consent
2. BExercising autonomy
3. CLacking decision-making capacity
4. DFully competent

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. ALower the bed now and remind the assistant why it matters
2. BWrite it in the assistant’s yearly review only
3. CAsk the family to lower the bed when they next visit
4. DLeave it because the patient is asleep

Which action helps prevent a catheter-associated urinary tract infection?

1. ADisconnecting the bag every shift to empty it
2. BRaising the drainage bag above the bladder when walking
3. CLeaving the catheter in place longer than needed
4. DKeeping the drainage bag below the level of the bladder

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. ALeave the patient for a few minutes to find the relatives and explain what is happening
2. BGo to the station to finish documentation for other patients
3. CStay with the patient, give oxygen as prescribed and have recent vital signs ready
4. DGive a dose of every as-needed medication on the chart

An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?

1. AMorning vital signs on the four stable patients
2. BAssessing the breathless patient’s lung sounds
3. CExplaining the new diagnosis to the breathless patient’s family
4. DGiving the breathless patient’s IV furosemide

A patient on airborne precautions for suspected tuberculosis must go to the radiology department. What should the patient wear during transport?

1. AGloves and a gown only
2. BNothing, if the trip is short
3. CA fit-tested N95 respirator
4. DA surgical mask