1.쉬움
Which factor is one of the strongest predictors that a patient will fall?
- AHaving a private room
- BBeing female
- CA previous fall
- DWearing glasses for reading
2.쉬움
According to the ISMP (US) list of error-prone abbreviations, how should the route “subcutaneous” be written in a medication order?
- AAs “SC”
- BAs “sub-Q” with a plus sign
- CAs “subcut” or “subcutaneously”
- DAs “SQ”
3.쉬움
Why are a low bed and floor mats used for some patients at high risk of falls?
- AThey help the patient sleep more deeply
- BThey reduce the risk of injury if the patient falls out of bed
- CThey stop the patient from ever leaving the bed
- DThey make it easier for staff to clean under and around the bed
4.보통
A nurse gives part of a dose of an opioid from a vial and must discard the rest. What is correct?
- ADiscard it alone in the sink and document the amount wasted later in the shift
- BDiscard it in front of a second licensed (registered) nurse, who witnesses and documents it
- CReturn the rest to the patient’s medication drawer
- DKeep the rest for the patient’s next dose
5.보통
A patient receiving continuous nasogastric feeding has pulled the tube partly out. What should the nurse do first?
- ATape the tube in its new position and continue
- BPush the tube back in and restart the feed
- CStop the feeding until the tube position is checked
- DIncrease the feed rate to make up for the lost time
6.보통
Why can side rails be dangerous for a confused, restless patient?
- ASide rails make the bed move by itself
- BSide rails always cause pressure injuries
- CThe patient may climb over them or get trapped in gaps
- DSide rails stop staff from reaching the patient in an emergency
7.어려움
During a power cut in a US hospital, a ventilator must stay powered. Where should it be plugged in?
- AInto any white outlet in the room
- BInto an extension cord from the corridor
- CInto the outlet that is closest to the bed, whatever its color
- DInto a red outlet connected to the emergency generator
8.어려움
A patient’s cardiac monitor alarms often because of artifact, and a colleague suggests turning the alarm off. What is the best response?
- AKeep the alarm on, fix the cause such as electrode placement, and adjust limits only per policy
- BTurn the alarm volume down as low as it will go
- CTurn the alarm off and check the monitor screen at the nurses’ station every hour instead
- DDisconnect the monitor overnight so the patient can sleep
정답표
- 1. C · A previous fall
- 2. C · As “subcut” or “subcutaneously”
- 3. B · They reduce the risk of injury if the patient falls out of bed
- 4. B · Discard it in front of a second licensed (registered) nurse, who witnesses and documents it
- 5. C · Stop the feeding until the tube position is checked
- 6. C · The patient may climb over them or get trapped in gaps
- 7. D · Into a red outlet connected to the emergency generator
- 8. A · Keep the alarm on, fix the cause such as electrode placement, and adjust limits only per policy
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