Lembar kerja Prioritas & delegasi dengan jawaban

Which task is appropriate to delegate to a nursing assistant?

1. AAssessing a pressure injury on the sacrum
2. BFeeding a stable patient who has no swallowing problems
3. CFeeding a patient with newly diagnosed dysphagia after a stroke
4. DGiving a stable patient their oral medications

What does a raised troponin level usually show?

1. AA urinary tract infection
2. BLow blood sugar
3. CDamage to the liver
4. DDamage to heart muscle

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A18%
2. B36%
3. C1%
4. D9%

Tugas mana yang paling tepat didelegasikan RN kepada LPN/LVN?

1. AMemberikan edukasi pemulangan kepada pasien yang baru memulai insulin
2. BMelakukan pengkajian saat masuk pada pasien baru
3. CMemulai unit pertama sel darah merah
4. DMemasang kateter urine menetap pada pasien yang stabil

Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?

1. ALevel 1
2. BLevel 4
3. CLevel 5
4. DLevel 2

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. ACheck for signs of low calcium and inform the provider
2. BReassure the patient that this is normal after neck surgery
3. CGive the patient’s routine oral iron supplement early
4. DEncourage deep breaths into a paper bag until it passes

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

1. AEncouraging the patient to drink plenty of water
2. BSeizure precautions and close neurological checks
3. CTeaching the patient about a low-sodium diet at home
4. DHelping the patient to walk in the corridor alone

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

1. AAsking the runner to rest in the shade and drink slowly
2. BGiving an antipyretic tablet and waiting for it to work
3. CWrapping the runner in a blanket to prevent shivering
4. DRapid cooling while supporting airway and circulation