Lembar kerja Prioritas & delegasi dengan jawaban

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. AChoosing which wound dressing to use
2. BTurning and repositioning the patient every 2 hours
3. CDeciding whether a pressure injury has got worse since yesterday
4. DPlanning the patient’s skin care

Dalam kerangka ABC, masalah mana yang merupakan masalah sirkulasi?

1. AKecemasan
2. BFrekuensi napas 32/menit
3. CPerdarahan yang tidak terkendali
4. DStridor

What does a “STAT” order mean?

1. ACarry it out immediately
2. BCarry it out only if the patient asks for it
3. CCarry it out within the next 24 hours
4. DCarry it out at the next routine round

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AJaw thrust, keeping the head and neck in line
2. BTurning the head to the side to drain water
3. CHead-tilt, chin-lift with full neck extension
4. DRaising the chin while bending the neck forward

A nurse takes a telephone order from a provider. What must the nurse do?

1. AWrite the order down and read it back to the provider to confirm it
2. BCarry out the order first and ask the provider to confirm it later
3. CAsk the ward clerk to take the order on the nurse’s behalf instead
4. DRemember the order and write it in the chart at the end of the shift

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. ATemperature and the latest pain score
2. BBowel sounds and urine color
3. CBlood glucose and weight
4. DApical pulse and blood pressure

A patient has a potassium of 7,0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AOral potassium binder
2. BIV calcium gluconate
3. COral sodium bicarbonate
4. DIV furosemide

Di unit jantung, pasien mana yang harus ditemui perawat lebih dulu?

1. APasien gagal jantung yang berat badannya naik 0,3 kg sejak kemarin
2. BPasien yang diminta berpuasa sebelum pemindaian besok
3. CPasien yang mengonsumsi digoksin dengan nadi 48/menit, mual, dan kalium 3,0 mEq/L
4. DPasien fibrilasi atrium dengan denyut jantung 88/menit dan tidak teratur, seperti sebelumnya