Lembar kerja Prioritas & delegasi dengan jawaban

In nursing management, what is an “assignment”?

1. AA written order from a prescriber for a treatment
2. BGiving staff care activities that are within their own role and scope
3. CHanding legal accountability for a patient over to a nursing colleague
4. DAsking a colleague to do a task outside their usual scope

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow long the patient has been in the hospital since admission
2. BHow many visitors the patient is expected to have
3. CHow far the patient’s room is from the nurses’ station
4. DHow ill the patient is and how much nursing care they need

Which triage method is designed for children in mass-casualty incidents?

1. AThe Braden Scale
2. BThe APGAR score
3. CThe Glasgow Coma Scale
4. DJumpSTART

Seorang pasien dewasa yang sedang makan di ruang bersama tiba-tiba mencengkeram lehernya dan tidak dapat berbicara, bernapas, atau batuk. Apa yang pertama kali harus dilakukan perawat?

1. AMenunggu untuk melihat apakah pasien dapat membatukkannya
2. BMengorek mulut dengan jari secara buta
3. CMemberi pasien segelas air untuk mendorong makanan
4. DMemanggil bantuan dan memberikan tepukan punggung serta hentakan perut

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7,51 and PaCO₂ 29 mmHg (3,9 kPa). What should the nurse do first?

1. AEncourage the patient to breathe even faster
2. BGive oxygen at the highest flow and leave the room
3. CGive IV sodium bicarbonate as soon as it can be found
4. DStay with the patient and coach slow, calm breathing

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I may get a headache after taking a tablet.”
2. B“I will swallow the tablet with a glass of water.”
3. C“I will sit down before I take a tablet.”
4. D“I will keep the tablets in their original dark container.”

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

1. AThe nurse should consider level 2 because of the danger-zone vital sign
2. BVital signs never change the ESI level
3. CThe patient is level 5 because the pain is not severe
4. DThe patient is level 4 because the blood tests and the scan count as one resource

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

1. A2 hari setelah pembuatan kolostomi: stoma lembap dan merah muda, keluaran sedikit
2. B6 jam setelah endarterektomi karotis: pembengkakan leher bertambah, mengatakan sulit menelan
3. CSetelah operasi prostat dengan irigasi kandung kemih: urine merah muda muda, tanpa bekuan
4. D2 hari setelah penggantian sendi panggul: nyeri 5/10 saat bergerak, analgesik diberikan 1 jam yang lalu