Lembar kerja Prioritas & delegasi dengan jawaban

Which triage method is designed for children in mass-casualty incidents?

1. AThe Braden Scale
2. BThe Glasgow Coma Scale
3. CThe APGAR score
4. DJumpSTART

Which capillary refill time is prolonged in an adult?

1. A4 seconds
2. BLess than 1 second
3. C2 seconds
4. D1 second

Kegiatan mana yang umumnya termasuk dalam lingkup perawat praktis berlisensi (LPN/LVN) untuk pasien yang stabil?

1. AMenyusun rencana asuhan keperawatan
2. BMelakukan pengkajian awal saat masuk
3. CMelakukan triase pasien baru di instalasi gawat darurat
4. DMemberikan obat oral terjadwal

Seorang perawat menerima empat lampu panggilan sekaligus. Pasien mana yang didatangi perawat lebih dulu?

1. APasien yang berkata, "Saya tidak bisa menarik napas."
2. BPasien yang bertanya jam berapa dokter akan datang
3. CPasien yang meminta obat nyeri untuk nyeri 4/10
4. DPasien yang pompa infusnya berbunyi karena kantong cairan rumatan sudah habis

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. ATurn the patient onto their side
2. BGive a drink of water
3. CRaise the legs above the heart
4. DGive an oral anti-sickness tablet

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AGo to the station to finish documentation for other patients
2. BGive a dose of every as-needed medication on the chart
3. CLeave the patient for a few minutes to find the relatives and explain what is happening
4. DStay with the patient, give oxygen as prescribed and have recent vital signs ready

On a cardiac step-down unit, which patient should the nurse assess first?

1. ADay 2 after a pacemaker insertion, asking when the wound dressing will be changed
2. BAtrial fibrillation on warfarin with an INR of 2,6 this morning
3. CSix hours after a coronary stent, new chest pain with ST elevation on the monitor
4. DHeart failure, weight up 0,5 kg since yesterday, no breathlessness at rest

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will drink enough fluid every day.”
2. B“I will keep my daily salt intake about the same as usual.”
3. C“I will go for my blood tests as planned.”
4. D“I will take ibuprofen every day for my headaches.”