1.쉬움
투약 지시에 끝자리 0(예: “5.0 mg”)을 쓰면 안 되는 이유는?
- A정맥 약물에만 허용된다
- B잘못 읽으면 용량이 10배 적어진다
- C라벨의 약 이름이 바뀔 수 있다
- D소수점을 놓치면 50 mg이 된다
2.쉬움
Which aid makes it safer to move a patient sideways from a bed to a stretcher?
- APulling the patient by the arms and legs
- BA wheelchair placed between the bed and stretcher
- CA gait belt around the patient’s waist
- DA friction-reducing slide sheet or transfer board
3.쉬움
Which item is “non-critical” and needs only cleaning and low-level disinfection between patients?
- AA flexible gastroscope
- BA central venous catheter
- CA blood pressure cuff
- DA set of surgical forceps
4.보통
A patient with a severe latex allergy is booked for surgery. Which measure is commonly used?
- AGive the patient antihistamines before surgery and then use the normal supplies
- BUse latex-free supplies and schedule the patient as the first case of the day
- CWrap latex items in plastic before use
- DUse latex gloves only for short procedures
5.보통
Which practice makes shift handoff safer?
- AGiving handoff in a busy corridor so that the outgoing nurse can leave on time
- BGiving handoff from memory without any structure
- CLeaving written notes only, without a chance for questions
- DUsing a standard format such as SBAR or I-PASS, with time for questions
6.보통
Before a blood transfusion is started, which check is required?
- AThe patient signs the blood bag label to confirm their name before it is hung
- BOne nurse checks the blood product against the order at the nurses’ station
- CThe nurse checks only that the bag number matches the order
- DThe patient’s identity is checked against the blood product and its paperwork at the bedside
7.어려움
A nurse has a needlestick from a patient whose HIV and hepatitis status is unknown. What should happen?
- AThe nurse waits six months before having any blood tests at all
- BNothing, because the source patient is probably not infected
- CThe nurse is assumed to be infected and stops all work
- DThe source patient is tested per policy, and the nurse has baseline tests
8.어려움
Which patient with a suspected infection meets the qSOFA criteria that signal a higher risk of a poor outcome?
- ARespiratory rate 18/min, alert, systolic BP 130 mmHg, temperature 38.5 °C
- BRespiratory rate 16/min, alert, systolic BP 105 mmHg, WBC 13,000/mm3
- CRespiratory rate 20/min, alert, systolic BP 110 mmHg, heart rate 110/min
- DRespiratory rate 24/min, new confusion, systolic BP 95 mmHg
정답표
- 1. D · 소수점을 놓치면 50 mg이 된다
- 2. D · A friction-reducing slide sheet or transfer board
- 3. C · A blood pressure cuff
- 4. B · Use latex-free supplies and schedule the patient as the first case of the day
- 5. D · Using a standard format such as SBAR or I-PASS, with time for questions
- 6. D · The patient’s identity is checked against the blood product and its paperwork at the bedside
- 7. D · The source patient is tested per policy, and the nurse has baseline tests
- 8. D · Respiratory rate 24/min, new confusion, systolic BP 95 mmHg
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