Lembar kerja Prioritas & delegasi dengan jawaban

Which symptoms suggest high blood glucose (hyperglycemia)?

1. ASudden hunger with cold, clammy skin
2. BIncreased thirst and passing more urine
3. CConfusion that improves quickly with juice
4. DSweating, shaking and a fast pulse

Why may a full-thickness burn feel painless at its center?

1. AThe patient has been given too much fluid
2. BThe nerve endings in the skin have been destroyed
3. CThe burn only affects the thin surface layer of the skin
4. DThe burn has already fully healed

Which three things does START triage check in a non-walking adult?

1. APain score, mobility and age
2. BPulse, blood pressure and body temperature
3. CAirway, blood glucose and pupils
4. DRespirations, perfusion and mental status

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AGive the patient’s routine oral iron supplement early
2. BEncourage deep breaths into a paper bag until it passes
3. CReassure the patient that this is normal after neck surgery
4. DCheck for signs of low calcium and inform the provider

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. ALong-standing dementia that is expected
2. BA personality change that is permanent and expected
3. CDelirium, which needs the cause found quickly
4. DNormal aging that needs no action

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe ropes are in the pulleys
2. BThe weights are resting on the floor
3. CThe patient’s body is in line with the traction
4. DThe weights are hanging freely

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AA deep vein thrombosis that can be treated next week
2. BChronic venous insufficiency that needs elevation
3. CAcute arterial occlusion, which is an emergency
4. DA muscle cramp that will pass with stretching

A patient who is 7 weeks pregnant has one-sided lower abdominal pain, pain in the shoulder tip, a heart rate of 120/min and a blood pressure of 88/54 mmHg. What is most likely?

1. AA ruptured ectopic pregnancy
2. BSevere morning sickness
3. CA normal early pregnancy
4. DA urinary tract infection