Lembar kerja Prioritas & delegasi dengan jawaban

Which task can the RN usually assign to an LPN/LVN?

1. ATriaging a new arrival in the emergency department
2. BDoing the admission assessment of a new patient
3. CWriting the patient’s initial plan of care
4. DChanging the dressing on a stable, healing wound

In the AVPU scale, what does the P mean?

1. APain score below 5
2. BResponds only to pain
3. CPulse present and regular
4. DPupils equal and reactive

In the ABC framework, which finding is mainly a breathing problem?

1. AStridor caused by a swollen throat
2. BShallow breaths with an SpO₂ of 85% on room air
3. CHeart rate 150/min with a low blood pressure and cold skin
4. DA blood glucose of 60 mg/dL (3,3 mmol/L)

Which practice makes a shift handover safest?

1. ALeaving a sticky note on the computer screen for the next nurse
2. BA quick chat in the corridor with no notes taken
3. CA structured format, such as SBAR, with time for questions
4. DHanding over only the patients who had problems during the shift

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. AUlcerative colitis, asking about diet changes for home
2. BCrohn disease, waiting to be taken down for a scheduled CT scan
3. CTwo hours after a colonoscopy: rigid abdomen and severe new pain
4. DLong-standing back pain, asking for the usual analgesic

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AHeparin-induced thrombocytopenia
2. BVitamin K deficiency
3. CIron deficiency anemia
4. DAn expected effect that needs no action

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

1. AEncourage the patient to keep coughing and stay with them
2. BGive the patient water to wash the food down
3. CSweep the mouth blindly with a finger
4. DGive abdominal thrusts straight away until the food comes out

A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?

1. AAssessing a patient who returned from surgery 30 minutes ago
2. BMeasuring the vital signs and weights of every patient on the unit before breakfast
3. CGiving a scheduled subcutaneous anticoagulant injection to a stable patient
4. DWriting the discharge teaching plan for a patient with new diabetes