Lembar kerja Prioritas & delegasi dengan jawaban

Which phrase in a question usually signals a priority question?

1. A“Which statement describes this drug’s class?”
2. B“Which action should the nurse take first?”
3. C“Which bone is found in the forearm?”
4. D“Which term means inflammation of the liver?”

In Maslow’s hierarchy of needs, which level sits at the top?

1. ASelf-actualization
2. BSafety and security
3. CEsteem
4. DLove and belonging

In mmHg, what is the normal range for arterial PaCO₂?

1. A80–100 mmHg
2. B7,35–7,45 mmHg
3. C35–45 mmHg
4. D22–26 mmHg

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe ropes are in the pulleys
2. BThe patient’s body is in line with the traction
3. CThe weights are hanging freely
4. DThe weights are resting on the floor

A nurse cannot read part of a medication order. What should the nurse do?

1. AAsk another nurse to guess what the order most likely says, then give it
2. BGive the usual dose of the drug the nurse thinks was meant
3. CSkip the drug and not tell anyone until the next ward round
4. DContact the prescriber to clarify the order before giving the drug

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

During surgery under general anesthesia, a patient develops rising end-tidal carbon dioxide, muscle rigidity and a rapidly increasing temperature. Which drug should the nurse anticipate?

1. ADantrolene
2. BAtropine
3. CFlumazenil
4. DNaloxone

Pasien mana yang harus pertama kali dieskalasi perawat ke tim respons cepat?

1. APasien infeksi saluran kemih yang baru bingung, dengan frekuensi napas 26/menit dan tekanan darah sistolik 94 mmHg
2. BPasien selulitis dengan suhu 38,1 °C, dengan tanda vital lainnya normal
3. CPasien hipertensi yang diketahui dengan tekanan darah 152/94 mmHg dan merasa sehat
4. DPasien setelah operasi lutut dengan nyeri 6/10 dan tanda vital normal