Lembar kerja Prioritas & delegasi dengan jawaban

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A36%
2. B9%
3. C1%
4. D18%

Dalam sistem triase tiga tingkat, pasien mana yang tergolong gawat darurat?

1. ANyeri dada dengan berkeringat dan sesak napas
2. BRuam selama tiga hari tanpa demam
3. CPermintaan resep ulang
4. DNyeri perut selama dua hari dengan tanda vital normal

In the United States, which law sets out the scope of nursing practice in each state?

1. AThe state Nurse Practice Act
2. BThe federal tax code
3. CThe hospital’s visitor policy
4. DThe Food and Drug Administration rules

During labor, the nurse sees the umbilical cord in the vagina after the membranes rupture. What is the first action?

1. APush the cord back into the uterus
2. BAsk the patient to walk around the room to bring the baby lower and speed up labor
3. CRelieve pressure on the cord by lifting the presenting part with a gloved hand
4. DWait for the next contraction before acting

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. AWith the palms of the hands, not the fingertips
2. BBy covering it tightly with a plastic sheet
3. CBy resting it directly on a hard surface
4. DWith the fingertips, pressing firmly to test it

Seorang dewasa stabil dengan tanda vital normal mengalami luka sayat di tangan yang memerlukan jahitan dan tidak ada lagi yang lain. ESI level berapa yang sesuai?

1. ALevel 2
2. BLevel 5
3. CLevel 3
4. DLevel 4

A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?

1. AUrine output at least 0,5 mL/kg/h and clearer thinking
2. BCooler, paler skin on the arms and legs
3. CA heart rate that keeps rising after each bag of fluid
4. DNew crackles at both lung bases

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AAsk the relative directly in front of the patient whether they hit her
2. BIgnore it, because older people bruise easily
3. CEnsure the patient’s safety, document the findings and report as required
4. DTell the patient she must leave home and go to live somewhere else