Lembar kerja Prioritas & delegasi dengan jawaban

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

1. AA 12-lead ECG
2. BA chest CT scan
3. CA lipid profile
4. DAn exercise stress test

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe tissues are not getting enough oxygen
2. BThe liver is making too much bile
3. CThe kidneys are working harder than usual
4. DThe patient has eaten recently

Dalam hierarki Maslow, tingkat mana yang datang tepat setelah kebutuhan fisiologis?

1. APenghargaan dan pengakuan
2. BRasa aman dan perlindungan
3. CKasih sayang dan rasa memiliki
4. DAktualisasi diri

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. ARecord the result and recheck the glucose at the usual time before the evening meal
2. BGive the next scheduled dose of rapid-acting insulin with the meal
3. CGive another serving of fast-acting carbohydrate and recheck in 15 minutes
4. DWait another hour, because juice can take a long time to work

Seorang perawat menerima empat lampu panggilan sekaligus. Pasien mana yang didatangi perawat lebih dulu?

1. APasien yang meminta obat nyeri untuk nyeri 4/10
2. BPasien yang berkata, "Saya tidak bisa menarik napas."
3. CPasien yang bertanya jam berapa dokter akan datang
4. DPasien yang pompa infusnya berbunyi karena kantong cairan rumatan sudah habis

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. AA dose of the hepatitis B vaccine instead
2. BNo treatment is needed
3. CRh immunoglobulin within 72 hours
4. DVitamin K to the mother

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. AAsk a nursing assistant to do it instead
2. BDecline, explain why and suggest who can safely do it
3. CDo it just this once and promise the provider not to do it again
4. DDo it, because the provider gave the instruction

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

1. AWear a respirator mask in the room, because MRSA in a wound spreads through the air to others
2. BNo special precautions are needed if the wound is covered with a dressing
3. COnly wear gloves when touching the wound itself; skin and bedding are safe
4. DWear a gown and gloves for contact with the patient or the room, and use dedicated equipment