Lembar kerja Prioritas & delegasi dengan jawaban

Which arterial blood pH is within the normal range?

1. A7,40
2. B7,18
3. C7,28
4. D7,52

What is the normal baseline fetal heart rate?

1. A40–60/min
2. B160–220/min
3. C60–100/min
4. D110–160/min

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

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

Which two patients can most safely share a room?

1. AA patient with MRSA in a wound and a patient after surgery
2. BTwo patients who both have C. difficile infection
3. CA patient with chickenpox and a patient on chemotherapy
4. DA patient with influenza and a patient with COPD

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. AKeep the left arm wrapped tightly in a bandage at night
2. BMeasure blood pressure on the left arm only, every 4 hours
3. CHelp the patient carry shopping bags on the left arm
4. DDo not measure blood pressure on the left arm

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. AReport it, because a different oxygen device is likely to be needed
2. BRemove the oxygen to see if the SpO₂ changes
3. CRecheck the SpO₂ at the next routine set of observations in four hours
4. DTurn the nasal cannula up to 15 L/min

An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?

1. AStop the LPN/LVN and contact the prescriber or pharmacist about another form
2. BLet the LPN/LVN continue, since crushing makes the tablet easier to swallow
3. CTell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime
4. DReport the LPN/LVN at the end of the month without saying anything now

On a cardiac step-down unit, which patient should the nurse assess first?

1. AAtrial fibrillation on warfarin with an INR of 2,6 this morning
2. BDay 2 after a pacemaker insertion, asking when the wound dressing will be changed
3. CSix hours after a coronary stent, new chest pain with ST elevation on the monitor
4. DHeart failure, weight up 0,5 kg since yesterday, no breathlessness at rest