Lembar kerja Prioritas & delegasi dengan jawaban

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A3,5–5,0 mEq/L
2. B80–100 mEq/L
3. C22–26 mEq/L
4. D35–45 mEq/L

Which statement about the nursing process is correct when setting priorities?

1. AImplementation comes first, so care starts quickly
2. BAssessment comes first, because the other steps depend on it
3. CPlanning comes first, before seeing the patient
4. DEvaluation comes first, before any patient data have been collected

Which statement about pulse oximetry is correct?

1. AIt shows the patient’s blood glucose
2. BCold fingers or nail polish can give an inaccurate reading
3. CIt measures the carbon dioxide in the blood
4. DThe reading is always correct, whatever finger or hand is used

A nurse takes a telephone order from a provider. What must the nurse do?

1. AWrite the order down and read it back to the provider to confirm it
2. BAsk the ward clerk to take the order on the nurse’s behalf instead
3. CRemember the order and write it in the chart at the end of the shift
4. DCarry out the order first and ask the provider to confirm it later

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. ATemperature and the latest pain score
2. BBlood glucose and weight
3. CBowel sounds and urine color
4. DApical pulse and blood pressure

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AGive a drink of water to help the patient wake
2. BPlace a tongue depressor between the teeth
3. CProtect the head and turn the patient on their side when possible
4. DHold the arms and legs down firmly to stop the jerking movements quickly

Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?

1. AUrinary retention
2. BA normal effect of the anesthetic
3. CAcute kidney injury with no urine made
4. DDehydration from fasting before surgery

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. ALeave on time, because the shift has officially ended
2. BStay and tell the charge nurse, and hand over before leaving
3. CAsk a nursing assistant to watch the patients until someone comes
4. DLeave a written note at the station and go home