Lembar kerja Prioritas & delegasi dengan jawaban

Apa itu triase?

1. AMenangani pasien secara ketat sesuai urutan kedatangan
2. BMembagi pasien secara merata di antara perawat yang bertugas
3. CMemilah pasien menurut seberapa mendesak mereka membutuhkan perawatan
4. DMemindahkan pasien antarunit berdasarkan ketersediaan tempat tidur

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. ABlood clots
2. BFluid overload
3. CBleeding
4. DInfection

Using the PASS method for a fire extinguisher, what is the first step?

1. APull the pin
2. BSweep from side to side
3. CAim at the base of the fire
4. DSqueeze the handle

Which two patients can most safely share a room?

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

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will keep a pillow between my knees when I lie on my side in bed.”
2. B“I will use a raised toilet seat at home.”
3. C“I will not bend my hip past 90 degrees.”
4. D“I will cross my legs when I sit, so I am more comfortable.”

When making patient assignments, what should the charge nurse consider first?

1. ALetting staff choose the patients they prefer
2. BGiving the newest staff the most complex patients
3. CGiving each nurse patients in rooms next to each other
4. DMatching each patient’s needs to staff competence

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. AAsk a nursing assistant to do it instead
2. BDo it just this once and promise the provider not to do it again
3. CDecline, explain why and suggest who can safely do it
4. DDo it, because the provider gave the instruction

After a head injury, a patient has clear fluid dripping from the nose. Which action should the nurse avoid?

1. AInforming the provider about the drainage
2. BPlacing a loose gauze under the nose
3. CChecking the fluid for glucose or a halo sign on gauze
4. DInserting a tube or suction catheter through the nose