1.쉬움
What are passive range-of-motion exercises?
- AThe nurse moves the patient's joints without the patient's effort
- BThe patient walks a set distance each day
- CThe patient moves their own joints through their full range without any help
- DThe patient lifts weights to build muscle strength
2.쉬움
What is the 4AT used for?
- AMeasuring the risk of malnutrition
- BRapid screening for delirium
- CAssessing the risk of pressure ulcers
- DScoring pain in children
3.쉬움
Where is the apical pulse best heard in an adult?
- AAt the fifth intercostal space in the left midclavicular line
- BOver the lower end of the sternum in the midline
- CAt the second intercostal space just right of the sternum
- DAt the left side of the neck beside the windpipe
4.보통
Why should a tourniquet not be left on for a long time before taking blood?
- AIt can change the results, for example by concentrating the blood
- BIt makes the blood turn blue in the tube
- CIt makes the patient's arm grow stronger
- DIt stops the needle from entering the vein because the vein is too hard
5.보통
A dying patient asks to see a chaplain or religious leader. What should the nurse do?
- AArrange the visit as soon as possible
- BAsk the patient's doctor if a visit is allowed
- CTell the patient to wait until visiting hours tomorrow
- DExplain that religious matters are not part of care
6.보통
체질량지수(BMI)는 어떻게 계산하나요?
- A키(cm)를 체중(kg)으로 나눈다
- B체중(kg)에 키(m)의 제곱을 곱한다
- C허리둘레를 엉덩이둘레로 나눈다
- D체중(kg)을 키(m)의 제곱으로 나눈다
7.어려움
Aspirate from a newly placed nasogastric tube has a pH of 7. What should the nurse do?
- AFlush the tube with water and start the feed
- BNot use the tube and follow policy, which may mean a chest X-ray
- CPush air down the tube and listen over the stomach
- DStart the feed, as a pH of 7 confirms that the tube is in the stomach
8.어려움
A dehydrated patient is receiving IV fluids. Which finding best shows the treatment is working?
- AThe patient feels more thirsty than before the fluids started
- BThe heart rate rises and the skin becomes cooler
- CUrine output rises and the heart rate falls towards normal
- DThe urine becomes darker and more concentrated
정답표
- 1. A · The nurse moves the patient's joints without the patient's effort
- 2. B · Rapid screening for delirium
- 3. A · At the fifth intercostal space in the left midclavicular line
- 4. A · It can change the results, for example by concentrating the blood
- 5. A · Arrange the visit as soon as possible
- 6. D · 체중(kg)을 키(m)의 제곱으로 나눈다
- 7. B · Not use the tube and follow policy, which may mean a chest X-ray
- 8. C · Urine output rises and the heart rate falls towards normal
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