정답이 있는 임상간호학 학습지

글래스고 혼수 척도에서 가능한 가장 낮은 점수는?

1. A0
2. B5
3. C3
4. D1

When monitoring fluid balance, a rapid gain of 1 kg in body weight roughly equals:

1. A100 mL of retained fluid
2. B5 litres of retained fluid
3. C10 mL of retained fluid
4. D1 litre of retained fluid

상처 치유 중 감염을 시사하는 징후는?

1. A발적, 열감, 부종이 심해지고 고름이 나온다
2. B2일째 상처 가장자리가 약간 분홍빛이고 따뜻함
3. C마른 딱지가 생긴다
4. D상처가 아물며 약간 가렵다

Which is a recognised risk factor for postoperative nausea and vomiting?

1. ABeing male
2. BA short operation under local anaesthetic
3. CUse of opioids after surgery
4. DBeing a smoker

A patient has a fentanyl patch for chronic pain. Which advice is correct?

1. AAvoid heat sources such as hot water bottles over the patch
2. BCut the patch in half if the pain improves, to lower the dose
3. CKeep using the old patch with the new one
4. DApply the patch to broken skin for faster effect

During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?

1. AIncrease the rate so that the infusion finishes as quickly as possible
2. BFlush the cannula hard with saline
3. CApply a warm pack and continue the infusion
4. DStop the infusion straight away and follow the extravasation protocol

A patient with type 1 diabetes is nil by mouth before surgery. Why must their insulin not simply be stopped?

1. AWithout any insulin they can develop diabetic ketoacidosis
2. BStopping insulin causes immediate hypoglycaemia during the operation
3. CInsulin prevents wound infection on its own
4. DInsulin is needed for the anaesthetic to work

An acutely ill patient without COPD is on 15 L/min oxygen, and their SpO₂ is now 100% and stable. What should be done?

1. AIncrease the oxygen further to build up a reserve
2. BStop the oxygen and the saturation monitoring because the patient is now well
3. CKeep the oxygen at 15 L/min for at least a week to be on the safe side
4. DReduce the oxygen to keep the SpO₂ within the prescribed target range