Lembar kerja Prioritas & delegasi dengan jawaban

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. AExpected after drinking fluids
2. BLow and needing to be reported
3. CNormal for an adult at rest
4. DHigh, suggesting fluid overload

Bila soal prioritas menawarkan pengkajian dan tindakan, mana yang biasanya benar lebih dulu ketika situasinya bukan kegawatdaruratan?

1. AMengkaji pasien untuk mengumpulkan lebih banyak informasi
2. BMenghubungi pemberi layanan sebelum melihat pasien
3. CMeminta asisten keperawatan memeriksa pasien
4. DMendokumentasikan kekhawatiran dalam rekam medis

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

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

An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?

1. ADiphenhydramine
2. BAcetaminophen (paracetamol)
3. CMelatonin
4. DA warm milky drink

Di unit penyakit dalam campuran, pasien mana yang harus ditemui perawat lebih dulu?

1. APasien yang meminta informasi tertulis tentang pemulangan besok
2. BPasien depresi yang telah memberikan barang-barangnya dan memiliki rencana bunuh diri
3. CPasien hipertensi dengan tekanan darah 136/84 mmHg
4. DPasien dengan sakit kepala tegang ringan yang meminta asetaminofen

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. ALeave the wound uncovered so the surgeon can see it on arrival
2. BPush the bowel gently back into the abdomen with a gloved hand
3. CCover the wound with sterile dressings moistened with saline
4. DHelp the patient walk to the toilet to relieve abdominal pressure

A patient arrives one hour after the start of stroke symptoms. Which step must happen before a thrombolytic drug can be given?

1. AAn echocardiogram to look for clots
2. BA swallow test with a cup of water
3. CA full lipid profile to check cholesterol
4. DA brain scan to rule out bleeding

Several patients on a unit develop diarrhea within two days. What should the nurse do first?

1. AMove the affected patients into shared rooms with other patients to free up beds
2. BPlace affected patients on contact precautions and inform infection control
3. CWait to see if more patients become unwell
4. DGive all patients antidiarrheal drugs without assessment