Lembar kerja Prioritas & delegasi dengan jawaban

Pada triase korban massal, apa arti label merah biasanya?

1. ATertunda: cedera serius, tetapi stabil untuk saat ini
2. BSegera: mengancam nyawa tetapi dapat diselamatkan dengan penanganan cepat
3. CRingan: orang tersebut dapat berjalan dan dapat menunggu dengan aman
4. DEkspektan: kecil kemungkinan bertahan hidup meskipun dirawat, atau sudah meninggal

Which type of stroke is the most common?

1. AVenous sinus thrombosis
2. BHemorrhagic stroke
3. CIschemic stroke
4. DSubarachnoid hemorrhage

Which task should the registered nurse not delegate to a nursing assistant?

1. AWalking a stable patient up and down the corridor after lunch
2. BGiving a bed bath to a stable patient
3. CEvaluating whether the patient understood discharge teaching
4. DMaking an occupied bed

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. AGive a drink of water
2. BTurn the patient onto their side
3. CRaise the legs above the heart
4. DGive an oral anti-sickness tablet

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Increase the rate a little so the alarm clears.”
2. B“I will come and check the pump and the IV site now.”
3. C“Turn the pump off and on again until it stops.”
4. D“Silence the alarm and I will check it at the end of the shift.”

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. AOral potassium tablets
2. BA high-carbohydrate meal
3. CSubcutaneous long-acting insulin only, given once
4. DIV isotonic fluid such as 0,9% sodium chloride

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. AInfants of this age often roll off furniture and break bones in this way
2. BThe injury does not fit the infant’s development, so possible abuse must be reported
3. CNo further action is needed once the fracture is treated
4. DA spiral fracture in an infant is always caused by birth trauma

A dehydrated child is to receive IV fluids with added potassium. Which finding should the nurse confirm first?

1. AThat the child is hungry
2. BThat the child can walk without help
3. CThat the child is passing urine
4. DThat the child’s temperature is normal