Lembar kerja Prioritas & delegasi dengan jawaban

Which patient is unstable?

1. AA patient waiting for a planned hip X-ray
2. BA patient with long-standing arthritis pain of 3/10
3. CA patient with a healing leg wound and normal vital signs this morning
4. DA patient with a new irregular pulse who says they feel dizzy

Dalam pendelegasian, apa arti "keadaan yang benar" (right circumstance)?

1. ATugas tersebut tercantum jelas dalam uraian tugas tertulis penerima delegasi
2. BSituasi dan kondisi pasien membuat pendelegasian aman
3. CPerawat memberikan instruksi yang jelas dan spesifik kepada penerima delegasi
4. DPerawat memeriksa hasilnya setelah tugas selesai

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 new plaster cast that is still drying. How should the nurse handle it?

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

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

1. ABowel sounds and urine color
2. BTemperature and the latest pain score
3. CApical pulse and blood pressure
4. DBlood glucose and weight

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. AGive the strongest analgesic on the chart straight away
2. BTell the patient to wait until the next scheduled dose is due in two hours
3. CAssess the location, character and onset of the pain and the vital signs
4. DAsk the nursing assistant to reposition the patient

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

1. AMonitoring the fetal heart rate
2. BMeasuring the blood pressure and pulse
3. CA vaginal examination
4. DWeighing the pads to estimate blood loss

A nurse has a needlestick injury from a used needle. What should the nurse do first?

1. ASqueeze the wound hard and suck it
2. BWash the area with soap and water
3. CScrub the area with bleach
4. DFinish the shift and report it tomorrow