Lembar kerja Prioritas & delegasi dengan jawaban

In nursing management, what is an “assignment”?

1. AA written order from a prescriber for a treatment
2. BHanding legal accountability for a patient over to a nursing colleague
3. CAsking a colleague to do a task outside their usual scope
4. DGiving staff care activities that are within their own role and scope

What is the usual adult reference range for serum potassium?

1. AAbout 135–145 mEq/L
2. BAbout 6,0–8,0 mEq/L
3. CAbout 3,5–5,0 mEq/L
4. DAbout 1,5–2,5 mEq/L

Which finding is expected in a patient with long-standing COPD?

1. AAn SpO₂ of 78%
2. BA barrel-shaped chest
3. CNew confusion
4. DSudden sharp chest pain

Before giving a medication to a child, which check is especially important?

1. AThat the medicine cup is the child’s favorite color
2. BThat the parent agrees with the time it is given
3. CThat the dose is correct for the child’s weight
4. DThat the child likes the taste of the drug

A parent calls to say their toddler has just swallowed drain cleaner. What should the nurse advise?

1. ADo not make the child vomit; call poison control or emergency services now
2. BWait to see whether the child develops any symptoms first
3. CGive a large glass of fizzy drink or milk to dilute the cleaner before calling anyone
4. DMake the child vomit straight away to bring up the chemical

A drowsy patient has an arterial blood gas with pH 7,30, PaCO₂ 58 mmHg (7,7 kPa) and HCO₃⁻ 25 mEq/L (mmol/L). Which problem is the priority?

1. APoor ventilation causing carbon dioxide to build up
2. BHyperventilation caused by anxiety
3. CToo much bicarbonate from antacids
4. DLoss of bicarbonate from the bowel through severe diarrhea

Which nursing approach may raise intracranial pressure in a patient with a head injury?

1. AKeeping the room calm and quiet
2. BSpacing out care with rest periods in between activities
3. CDoing suctioning, turning and bathing all at the same time
4. DKeeping the head in line with the body

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

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