Lembar kerja Prioritas & delegasi dengan jawaban

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

1. ANothing by mouth
2. BNo pain observed
3. CNot for physical therapy
4. DNormal patient observations

In US patient-safety terms (The Joint Commission), what is a sentinel event?

1. AA planned admission to intensive care
2. BA routine handover between shifts
3. CAn unexpected event that causes death or serious harm
4. DA minor error that was noticed but caused no harm at all

Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?

1. ARaising the legs above the heart
2. BHead-tilt, chin-lift
3. CJaw thrust without head tilt
4. DTurning the head sharply to one side

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. ABackache after a long walk
2. BA severe headache with blurred vision
3. CNeeding to pass urine more often
4. DMild ankle swelling at the end of the day

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

1. AA new bowel infection that has caused the diarrhea
2. BA side effect of drinking too much water
3. CThe constipation has fully resolved
4. DFecal impaction with liquid stool passing around it

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ATouch the hub to check it is clean
2. BScrub the hub with an antiseptic such as chlorhexidine and let it dry
3. CBlow on the hub to remove any dust before connecting the syringe or line
4. DRinse the hub with tap water and dry it

An infant is choking and cannot cry or breathe. Which technique is correct?

1. AAbdominal thrusts, as in adults
2. BHolding the infant upside down by the feet
3. CBack blows and chest thrusts
4. DA blind finger sweep of the mouth

After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?

1. AThe patient is discharged with a leaflet to read at home
2. BThe nursing assistant shows the patient again at lunch
3. CThe RN reassesses the patient’s learning needs and adjusts the teaching
4. DThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift