Lembar kerja Prioritas & delegasi dengan jawaban

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

1. AWithin the normal adult range
2. BNormal after a meal
3. CAbnormally fast and needing assessment
4. DSlow, and expected while the patient is asleep

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

1. ABleeding
2. BHypertension
3. CDehydration
4. DInfection

What does “scope of practice” mean?

1. AThe activities a nurse is educated, competent and legally allowed to do
2. BThe highest number of patients a nurse may care for during a single shift
3. CThe hospital areas where a nurse is allowed to work
4. DThe salary range that applies to each nursing role

An arterial blood gas shows pH 7,28, PaCO₂ 40 mmHg (5,3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. ARespiratory acidosis
2. BMetabolic alkalosis
3. CMetabolic acidosis
4. DRespiratory alkalosis

A nurse takes a telephone order from a provider. What must the nurse do?

1. AAsk the ward clerk to take the order on the nurse’s behalf instead
2. BCarry out the order first and ask the provider to confirm it later
3. CRemember the order and write it in the chart at the end of the shift
4. DWrite the order down and read it back to the provider to confirm it

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. AMild ankle swelling at the end of the day
2. BBackache after a long walk
3. CA severe headache with blurred vision
4. DNeeding to pass urine more often

A nurse returns to the station to find four messages. Which one is answered first?

1. AThe laboratory is calling with a critical potassium result of 2,6 mEq/L
2. BA family member wants an update on their father’s progress
3. CThe pharmacy asks when the next delivery should be scheduled
4. DA colleague asks to swap shifts with them next week because of a family wedding

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?

1. AStart the insulin at once, because the glucose is the bigger problem
2. BGive the insulin as a fast bolus to bring the potassium up
3. CReport the result before starting, because insulin will push potassium even lower
4. DIgnore the result, since potassium is always high in this condition and will correct itself