Lembar kerja Prioritas & delegasi dengan jawaban

For a patient with a suspected heart attack and no contraindications, which drug is usually given early?

1. AAcetaminophen (paracetamol)
2. BCodeine
3. CAspirin, chewed
4. DIbuprofen

What does NPO mean on a patient’s care plan?

1. ANormal patient observations
2. BNothing by mouth
3. CNo pain observed
4. DNot for physical therapy

When is a patient most ready to learn about self-care?

1. AStraight after hearing bad news about a serious new diagnosis
2. BDuring a period of acute breathlessness
3. CWhen pain is controlled and basic physical needs are met
4. DWhile in severe pain, so the lesson feels important

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with a sealed radioactive implant for cervical cancer
2. BA patient after a hip replacement
3. CA patient with a fractured wrist
4. DA patient with type 2 diabetes who needs insulin teaching before discharge

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

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

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AIron deficiency anemia
2. BHeparin-induced thrombocytopenia
3. CAn expected effect that needs no action
4. DVitamin K deficiency

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

1. ACover the eye with a dry patch and wait for the provider
2. BRub the eye gently with a clean tissue to remove the chemical
3. CFlush the eye with plenty of water or saline straight away
4. DGive antibiotic eye drops first

A visitor on the ward becomes threatening and shows a knife. What is the nurse’s priority?

1. AMove away to safety, keep others away and call security or the police
2. BArgue with the visitor to persuade them to leave
3. CTry to take the knife away from the visitor straight away before anyone is hurt
4. DIgnore the visitor and carry on with patient care