Lembar kerja Prioritas & delegasi dengan jawaban

In a three-level triage system, what does “urgent” mean?

1. ASerious but stable for now, and needs care soon
2. BAlready deceased on arrival
3. CMinor, and can safely wait for several hours
4. DLife-threatening and needs care immediately

Which protective equipment is needed for droplet precautions?

1. AA surgical mask when close to the patient
2. BA lead apron and goggles
3. CA fitted N95 respirator at all times in the room
4. DGloves only, with no mask

In the United States, which law sets out the scope of nursing practice in each state?

1. AThe federal tax code
2. BThe Food and Drug Administration rules
3. CThe state Nurse Practice Act
4. DThe hospital’s visitor policy

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AIncreased appetite and thirst
2. BIncreasing sleepiness that is hard to rouse
3. CA rise in blood pressure with flushed cheeks
4. DA sudden rise in pain scores

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe in through my mouth and out quickly through my nose.”
2. B“I will breathe in slowly through my nose.”
3. C“I will breathe out slowly through pursed lips.”
4. D“I will make my breath out about twice as long as my breath in.”

A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?

1. A“I will rinse my mouth after using the steroid inhaler.”
2. B“I will use my steroid inhaler every day, even when I feel well.”
3. C“I will use my steroid inhaler when I have a sudden attack.”
4. D“I will carry my salbutamol inhaler with me.”

Seorang pasien yang diselamatkan dari kebakaran rumah mengalami luka bakar pada wajah, rambut hidung hangus, dan suara serak. Apa prioritasnya?

1. AMelindungi jalan napas, bersiap untuk bantuan jalan napas dini
2. BMemulai resusitasi cairan IV yang dihitung dari luas luka bakar
3. CMemberikan pereda nyeri
4. DMembersihkan dan membalut luka bakar wajah

Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?

1. ANo action, because the spasm is a sign of improvement
2. BA higher dose of haloperidol to calm the patient and stop the movements quickly
3. CAn anticholinergic drug, such as benztropine or procyclidine, as prescribed
4. DPhysical restraint until the spasm passes