1.쉬움
낙상 고위험 환자의 침대는 어떤 상태로 두어야 합니까?
- A가장 낮은 높이로 두고 브레이크를 잠근다
- B빠르게 옮길 수 있도록 브레이크를 푼다
- C가장 높은 높이로 둔다
- D항상 네 개의 침상 난간을 모두 올린다
2.쉬움
Why are a low bed and floor mats used for some patients at high risk of falls?
- AThey make it easier for staff to clean under and around the bed
- BThey reduce the risk of injury if the patient falls out of bed
- CThey stop the patient from ever leaving the bed
- DThey help the patient sleep more deeply
3.쉬움
In the chain of infection, a contaminated bedside table where bacteria live and multiply is an example of which link?
- AThe portal of entry
- BThe portal of exit
- CThe reservoir
- DThe susceptible host
4.보통
A nurse gives part of a dose of an opioid from a vial and must discard the rest. What is correct?
- AReturn the rest to the patient’s medication drawer
- BDiscard it in front of a second licensed (registered) nurse, who witnesses and documents it
- CDiscard it alone in the sink and document the amount wasted later in the shift
- DKeep the rest for the patient’s next dose
5.보통
A patient has a weak left leg. Which instruction about using a cane is correct?
- AHold the cane in the right hand, on the stronger side
- BKeep the cane well out to the side, away from the body
- CMove the cane and the right leg forward together
- DHold the cane in the left hand, on the weaker side
6.보통
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- ACold makes bacteria grow faster in the operating room air and on the drapes
- BWarmth sterilizes the surgical site
- CLow body temperature reduces blood flow and immune function in the wound
- DWarm patients do not need antibiotic prophylaxis
7.어려움
A patient after heart surgery has temporary epicardial pacing wires. Why do staff take special care with electrical safety?
- APacing wires can only carry current coming from the pacemaker box itself
- BThe wires make the patient immune to electric shock
- CSmall currents can travel along the wires straight to the heart and cause arrhythmias
- DElectrical safety only matters for patients who have permanent implanted pacemakers
8.어려움
A patient on an anticoagulant falls and hits their head but says they feel fine. What should the nurse do?
- ANotify the provider and start neurological observations, because a brain bleed may develop
- BWait until the next day to see if a headache develops
- CHelp the patient back to bed and do nothing more if they feel fine
- DGive the next anticoagulant dose early to prevent clots from forming after the fall
정답표
- 1. A · 가장 낮은 높이로 두고 브레이크를 잠근다
- 2. B · They reduce the risk of injury if the patient falls out of bed
- 3. C · The reservoir
- 4. B · Discard it in front of a second licensed (registered) nurse, who witnesses and documents it
- 5. A · Hold the cane in the right hand, on the stronger side
- 6. C · Low body temperature reduces blood flow and immune function in the wound
- 7. C · Small currents can travel along the wires straight to the heart and cause arrhythmias
- 8. A · Notify the provider and start neurological observations, because a brain bleed may develop
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