정답이 있는 임상간호학 학습지

How should nursing records be written?

1. AAt the end of the week, written from memory in one go to save time
2. BIn pencil so that mistakes can be rubbed out
3. CUsing personal abbreviations that only the nurse who wrote them understands
4. DAccurately and as soon as possible after the event, with date, time and signature

9의 법칙(rule of nines)이 추정하는 것은?

1. A피부 mm 단위로 측정한 화상 상처의 깊이
2. B분당 호흡수
3. C화상을 입은 체표면적의 백분율
4. D구토로 잃은 체액

A DNACPR (do not attempt CPR; often called DNR or DNAR in the US) decision means that:

1. AThe patient must be moved to a hospice
2. BAll treatment, including food, drink and pain relief, is stopped
3. CCPR will not be attempted if the heart stops, but other care continues
4. DThe patient cannot receive antibiotics, fluids or any other active treatment

Which features suggest Cushing's syndrome?

1. ACoarse facial features and very large hands and feet
2. BWeight gain around the trunk, a rounded face and thin, easily bruised skin
3. CDark skin, low blood pressure, salt craving and a low blood sodium level
4. DWeight loss, heat intolerance, tremor and protruding eyes

A very anxious patient breathes rapidly for a long period. Which change is expected?

1. AMetabolic acidosis from a low bicarbonate
2. BMetabolic alkalosis from vomiting
3. CRespiratory alkalosis from a low PaCO₂
4. DRespiratory acidosis from a high PaCO₂

Why does a patient with a suspected TIA need urgent specialist assessment?

1. AThe patient needs urgent surgery on the brain
2. BThe risk of a full stroke is highest in the days after a TIA
3. CThe symptoms will come back permanently within an hour
4. DA TIA always turns into a brain tumour unless it is treated

A patient taking regular ibuprofen suddenly develops severe upper abdominal pain, a rigid abdomen and becomes tachycardic. What is most likely?

1. AA perforated peptic ulcer
2. BIndigestion that will settle with antacids
3. CIrritable bowel syndrome
4. DConstipation

기관절개 환자가 갑자기 숨을 못 쉬고 튜브가 막힌 것 같습니다. 첫 번째 행동은?

1. A내관을 빼서 막혔는지 확인한다
2. B입으로만 산소를 준다
3. C무엇이든 하기 전에 의사를 기다린다
4. D커프 공기를 빼고 환자를 떠난다