Lembar kerja Prioritas & delegasi dengan jawaban

What is the purpose of the “time-out” just before a surgical procedure?

1. ATo confirm the correct patient, procedure and site
2. BTo count the swabs at the end of the operation
3. CTo give the surgeon a short rest before the operation starts
4. DTo let the family say goodbye to the patient

Before giving a medication, how many patient identifiers should the nurse check?

1. ANone, if the nurse already knows the patient well
2. BAt least two, such as name and date of birth
3. COne, the room number
4. DOne, the bed number

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. AUse alcohol hand rub only
2. BWipe hands on a clean towel
3. CNo hand hygiene is needed if gloves were worn
4. DWash with soap and water

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

1. AThe constipation has fully resolved
2. BFecal impaction with liquid stool passing around it
3. CA side effect of drinking too much water
4. DA new bowel infection that has caused the diarrhea

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AForgetting to take the blood pressure tablet this morning
2. BA history of high blood pressure for ten years
3. CNew chest pain or confusion suggesting organ damage
4. DMild anxiety about the high reading on the monitor

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

Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?

1. AA normal effect of the anesthetic
2. BDehydration from fasting before surgery
3. CUrinary retention
4. DAcute kidney injury with no urine made

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

1. ADisseminated intravascular coagulation (DIC)
2. BNormal bruising from blood tests
3. CVitamin C deficiency
4. DAn allergic reaction to the adhesive tape