Lembar kerja Prioritas & delegasi dengan jawaban

Dalam sistem triase tiga tingkat, pasien dengan pergelangan kaki terkilir, tanda vital normal, dan nyeri ringan biasanya digolongkan sebagai:

1. AMendesak
2. BTidak mendesak
3. CGawat darurat
4. DEkspektan

After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?

1. ABleeding
2. BDehydration
3. CHypertension
4. DInfection

What is the normal baseline fetal heart rate?

1. A110–160/min
2. B60–100/min
3. C40–60/min
4. D160–220/min

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. AHide the patient’s clothes and belongings until the provider arrives
2. BLock the door so the patient cannot leave the unit
3. CInform the provider, explain the risks and document the discussion
4. DLet the patient leave without telling anyone

Seorang dewasa stabil mengalami nyeri perut dan tanda vital normal. Ia akan memerlukan pemeriksaan darah dan CT scan. ESI level berapa yang sesuai?

1. ALevel 5
2. BLevel 4
3. CLevel 1
4. DLevel 3

A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?

1. AEye drops for glaucoma
2. BAntihypertensive drugs
3. CTopical skin creams
4. DInhaled bronchodilators

A nursing assistant has twice not reported abnormal vital signs to the RN. What is the RN’s best action?

1. ASay nothing to the assistant and quietly recheck all of the assistant’s vital signs in secret
2. BTalk to the assistant privately, restate what must be reported and follow up closely
3. CStop delegating any tasks to the assistant for the rest of the year
4. DComplain about the assistant to the patients during care

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

1. ARapid cooling while supporting airway and circulation
2. BAsking the runner to rest in the shade and drink slowly
3. CGiving an antipyretic tablet and waiting for it to work
4. DWrapping the runner in a blanket to prevent shivering