Lembar kerja Prioritas & delegasi dengan jawaban

Which blood pressure in an adult suggests hypotension?

1. A82/48 mmHg
2. B118/76 mmHg
3. C110/70 mmHg
4. D126/82 mmHg

Which task can the RN usually assign to an LPN/LVN?

1. AChanging the dressing on a stable, healing wound
2. BTriaging a new arrival in the emergency department
3. CWriting the patient’s initial plan of care
4. DDoing the admission assessment of a new patient

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

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

Before giving a medication to a child, which check is especially important?

1. AThat the dose is correct for the child’s weight
2. BThat the medicine cup is the child’s favorite color
3. CThat the parent agrees with the time it is given
4. DThat the child likes the taste of the drug

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

1. A“I will try to hold my breath for a few seconds at the top.”
2. B“I will blow into it as hard and fast as I can.”
3. C“I will use it several times every hour while awake.”
4. D“I will breathe in slowly and deeply through the mouthpiece.”

Seorang kepala ruangan perlu mengosongkan tempat tidur. Pasien mana yang paling tepat dipulangkan atau dipindahkan ke tingkat perawatan yang lebih rendah?

1. ADirawat dua jam yang lalu dengan nyeri dada; hasil troponin masih menunggu
2. BHari ke-3 setelah apendektomi tanpa komplikasi, sudah makan, dengan analgesik oral
3. CHari ke-1 setelah operasi usus dengan suhu baru 38,5 °C
4. DPneumonia, dengan kebutuhan oksigen yang naik semalam dari 2 menjadi 4 L/menit

Which nursing approach may raise intracranial pressure in a patient with a head injury?

1. AKeeping the room calm and quiet
2. BSpacing out care with rest periods in between activities
3. CDoing suctioning, turning and bathing all at the same time
4. DKeeping the head in line with the body

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. ADecontamination before the victim enters the treatment area
2. BFull assessment inside the main department straight away
3. CTaking the victim straight to the X-ray department
4. DPlacing the victim in the waiting room until a doctor is free