Lembar kerja Prioritas & delegasi dengan jawaban

In the ABC framework, which finding is mainly a breathing problem?

1. AHeart rate 150/min with a low blood pressure and cold skin
2. BA blood glucose of 60 mg/dL (3,3 mmol/L)
3. CShallow breaths with an SpO₂ of 85% on room air
4. DStridor caused by a swollen throat

Which white blood cell count suggests an infection or inflammation?

1. A6,500/mm³ (6,5 × 10⁹/L)
2. B8,200/mm³ (8,2 × 10⁹/L)
3. C18,000/mm³ (18 × 10⁹/L)
4. D7,000/mm³ (7 × 10⁹/L)

What does NPO mean on a patient’s care plan?

1. ANot for physical therapy
2. BNormal patient observations
3. CNo pain observed
4. DNothing by mouth

On the first day after abdominal surgery, a patient has a temperature of 37,9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. ARestrict oral fluids so that the lungs do not fill up with extra fluid
2. BEncourage deep breathing, coughing and use of the incentive spirometer
3. CGive a cough suppressant so that the incision is not strained
4. DKeep the patient lying flat in bed to rest the incision fully

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. ARecord the weight on the chart and recheck it at the next weekly weigh-in
2. BAssess the lungs, oxygen saturation and swelling, then inform the provider
3. CEncourage extra fluids to correct the weight change
4. DLay the patient flat to help them breathe more easily

Tugas mana yang paling tepat didelegasikan RN kepada LPN/LVN?

1. AMelakukan pengkajian saat masuk pada pasien baru
2. BMemasang kateter urine menetap pada pasien yang stabil
3. CMemberikan edukasi pemulangan kepada pasien yang baru memulai insulin
4. DMemulai unit pertama sel darah merah

Several patients on a unit develop diarrhea within two days. What should the nurse do first?

1. APlace affected patients on contact precautions and inform infection control
2. BGive all patients antidiarrheal drugs without assessment
3. CMove the affected patients into shared rooms with other patients to free up beds
4. DWait to see if more patients become unwell

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

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