Lembar kerja Prioritas & delegasi dengan jawaban

Which serum creatinine result suggests reduced kidney function in an adult?

1. A3,5 mg/dL (about 310 µmol/L)
2. B1,0 mg/dL (about 90 µmol/L)
3. C0,7 mg/dL (about 60 µmol/L)
4. D0,8 mg/dL (about 70 µmol/L)

Kebutuhan pasien mana yang termasuk tingkat rasa aman dalam hierarki Maslow?

1. APerlindungan dari jatuh
2. BPersahabatan
3. COksigen
4. DPengakuan dari orang lain

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

1. AShallow breaths with an SpO₂ of 85% on room air
2. BStridor caused by a swollen throat
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)

Seorang pasien mengalami mimisan mendadak, waspada, dan bernapas normal. Apa yang pertama kali dilakukan perawat?

1. AMendudukkan pasien, mencondongkannya ke depan, dan menjepit bagian lunak hidung
2. BMenengadahkan kepala dan mengompres es di belakang leher
3. CMeminta pasien menghembuskan hidung kuat-kuat untuk membersihkan bekuan
4. DMembaringkan pasien telentang datar dengan bantal di bawah lutut

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. ASpeak loudly and slowly in English
2. BAsk the patient’s 10-year-old child to translate
3. CUse a professional medical interpreter
4. DUse hand gestures and hope the patient understands

A patient arrives in the recovery room after general anesthesia. What does the nurse assess first?

1. AUrine output
2. BThe surgical dressing and the drains
3. CAirway patency and breathing
4. DThe pain score

During an infusion of a thrombolytic drug for stroke, the patient develops a severe headache and starts vomiting. What should the nurse do first?

1. AGive a dose of aspirin for the headache
2. BSlow the infusion and give an antiemetic as prescribed
3. CStop the infusion and inform the provider at once
4. DContinue the infusion, because headache is expected

Seorang pasien gagal jantung sesak napas dengan ronki di kedua paru. Urutan tindakan mana yang benar?

1. ATimbang pasien lebih dulu, lalu nilai ulang pernapasan dalam empat jam
2. BDuduk tegak, berikan oksigen sesuai resep, lalu hubungi pemberi layanan
3. CBaringkan pasien datar untuk beristirahat, lalu mulai cairan rumatan IV
4. DBerikan obat oral terjadwal lebih dulu, lalu dudukkan pasien