Lembar kerja Prioritas & delegasi dengan jawaban

What is the purpose of the “time-out” just before a surgical procedure?

1. ATo confirm the correct patient, procedure and site
2. BTo let the family say goodbye to the patient
3. CTo count the swabs at the end of the operation
4. DTo give the surgeon a short rest before the operation starts

Which task is appropriate to delegate to a nursing assistant?

1. AFeeding a stable patient who has no swallowing problems
2. BGiving a stable patient their oral medications
3. CAssessing a pressure injury on the sacrum
4. DFeeding a patient with newly diagnosed dysphagia after a stroke

Dalam kerangka ABC untuk menetapkan prioritas keperawatan, kebutuhan mana yang ditangani lebih dulu?

1. ANyeri
2. BJalan napas (Airway)
3. CPernapasan (Breathing)
4. DSirkulasi (Circulation)

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. BLeave it because the patient is asleep
3. CAsk the family to lower the bed when they next visit
4. DWrite it in the assistant’s yearly review only

A drowsy patient has an arterial blood gas with pH 7,30, PaCO₂ 58 mmHg (7,7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?

1. AToo much bicarbonate from antacids
2. BHyperventilation caused by anxiety
3. CPoor ventilation causing carbon dioxide to build up
4. DLoss of bicarbonate from the bowel through severe diarrhea

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AAsk the patient’s 10-year-old child to translate
2. BSpeak loudly and slowly in English
3. CUse hand gestures and hope the patient understands
4. DUse a professional medical interpreter

A patient in labor is receiving oxytocin, and the fetal monitor shows repeated late decelerations. What should the nurse do first?

1. AEncourage the patient to start pushing
2. BPlace the patient flat on her back
3. CStop the oxytocin infusion
4. DIncrease the oxytocin rate

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AAcute arterial occlusion, which is an emergency
2. BChronic venous insufficiency that needs elevation
3. CA muscle cramp that will pass with stretching
4. DA deep vein thrombosis that can be treated next week