Lembar kerja Prioritas & delegasi dengan jawaban

How many levels does the Emergency Severity Index have?

1. AThree
2. BFour
3. CFive
4. DSix

What does a raised troponin level usually show?

1. ADamage to heart muscle
2. BLow blood sugar
3. CDamage to the liver
4. DA urinary tract infection

Which finding should a nursing assistant report to the nurse at once?

1. AA patient who would like tea instead of coffee
2. BA pulse of 42/min in a patient whose usual pulse is 76/min
3. CA patient whose weight is unchanged from yesterday
4. DA patient who wants to shower in the evening

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Turn the pump off and on again until it stops.”
2. B“I will come and check the pump and the IV site now.”
3. C“Increase the rate a little so the alarm clears.”
4. D“Silence the alarm and I will check it at the end of the shift.”

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. AFollow the DNR order and do not start CPR
2. BStart CPR and stop when the family arrives
3. CStart chest compressions but not rescue breaths
4. DCall the cardiac arrest team and let them decide

Which practice makes a shift handover safest?

1. ALeaving a sticky note on the computer screen for the next nurse
2. BHanding over only the patients who had problems during the shift
3. CA structured format, such as SBAR, with time for questions
4. DA quick chat in the corridor with no notes taken

After handover on a medical unit, which patient should the nurse see first?

1. APneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences
2. BNew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
3. CDay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
4. DDeep vein thrombosis on a heparin infusion, aPTT in the target range

A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?

1. AUrine output at least 0,5 mL/kg/h and clearer thinking
2. BNew crackles at both lung bases
3. CCooler, paler skin on the arms and legs
4. DA heart rate that keeps rising after each bag of fluid