Lembar kerja Prioritas & delegasi dengan jawaban

In US units, which blood urea nitrogen (BUN) result is within the normal adult range?

1. A45 mg/dL
2. B15 mg/dL
3. C70 mg/dL
4. D2 mg/dL

In mmHg, what is the normal range for arterial PaCO₂?

1. A80–100 mmHg
2. B7,35–7,45 mmHg
3. C22–26 mmHg
4. D35–45 mmHg

In a three-level triage system, what does “urgent” mean?

1. AAlready deceased on arrival
2. BMinor, and can safely wait for several hours
3. CLife-threatening and needs care immediately
4. DSerious but stable for now, and needs care soon

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. BProtect the head and turn the patient on their side when possible
3. CHold the arms and legs down firmly to stop the jerking movements quickly
4. DPlace a tongue depressor between the teeth

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. AStop the transfusion and keep the IV open with normal saline via new tubing
2. BSlow the transfusion and recheck in an hour
3. CGive an antipyretic and continue the transfusion
4. DFinish the unit quickly through a pressure bag so that the reaction does not last long

Seorang kepala ruangan perlu mengosongkan tempat tidur. Pasien mana yang paling tepat dipulangkan atau dipindahkan ke tingkat perawatan yang lebih rendah?

1. AHari ke-3 setelah apendektomi tanpa komplikasi, sudah makan, dengan analgesik oral
2. BPneumonia, dengan kebutuhan oksigen yang naik semalam dari 2 menjadi 4 L/menit
3. CHari ke-1 setelah operasi usus dengan suhu baru 38,5 °C
4. DDirawat dua jam yang lalu dengan nyeri dada; hasil troponin masih menunggu

Setelah serah terima, pasien mana yang harus dikaji perawat lebih dulu?

1. ADiabetes tipe 2: glukosa 210 mg/dL (11,7 mmol/L) sebelum makan siang, tanpa gejala
2. B1 jam setelah kateterisasi jantung melalui femoralis: nyeri punggung baru, nadi 118/menit, TD 92/58 mmHg
3. CHari ke-2 setelah operasi kandung empedu: nyeri 6/10, analgesik berikutnya dijadwalkan 30 menit lagi
4. DPPOK dengan oksigen 2 L/menit: SpO₂ 90%, frekuensi napas 22/menit, pada kondisi dasarnya

A patient is admitted with inhalational anthrax. Which precautions are needed?

1. AAirborne precautions in a negative-pressure room for the whole of the hospital stay
2. BFull contact and droplet precautions for all staff and visitors on the unit
3. CStandard precautions, because it does not usually spread from person to person
4. DDroplet precautions with a surgical mask for everyone who enters