1.쉬움
Which of these is subjective data?
- AThe patient's skin is pale and moist
- BThe patient says she feels sick
- CThe patient vomited 150 mL
- DThe patient's temperature is 37.9 °C
2.쉬움
What is a wheeze?
- AA crackling sound heard over the heart
- BA high-pitched whistling sound caused by narrowed airways
- CA low rattling sound caused by fluid in the throat
- DA harsh sound heard only when breathing in through the nose
3.쉬움
What does "glycosuria" mean?
- ABlood in the urine
- BPus in the urine
- CGlucose in the urine
- DProtein in the urine
4.보통
A patient has just finished a glass of iced water. How should this affect taking an oral temperature?
- ATake it straight away, as cold drinks do not affect the mouth
- BUse the reading but only if the patient says they feel warm
- CWait about 15–30 minutes, as the reading may be falsely low
- DAdd half a degree to the reading to correct for the drink
5.보통
사용 전에 비위관이 위 안에 있는지 확인하는 가장 신뢰할 수 있는 방법은?
- A공기를 주입한 뒤 "쉭" 소리를 듣는다
- B관 끝을 물에 넣어 거품이 나는지 본다
- C환자에게 느낌이 괜찮은지 묻는다
- D흡인물의 pH를 검사하고, 필요하면 흉부 X선을 찍는다
6.보통
A patient has just died. What should the nurse find out before starting last offices?
- AThe patient's blood group
- BWhether the patient's bills had all been paid
- CThe family's religious and cultural wishes
- DThe patient's favourite food
7.어려움
A patient asks for a same-sex nurse for intimate care because of their religious beliefs. What should the nurse do?
- AAgree, but only if the patient has a written note from a religious leader
- BRefuse, as all nurses are equally qualified
- CArrange it where possible and record the preference in the care plan
- DTell the patient they must accept whoever is on duty
8.어려움
Which statement by a visitor shows a need for further teaching about contact precautions?
- A"I'll put on the gown and gloves before I go in."
- B"I'll take off the gown and gloves before I leave the room."
- C"I'll take the gown off at home after I leave the hospital."
- D"I'll clean my hands as I leave the room."
정답표
- 1. B · The patient says she feels sick
- 2. B · A high-pitched whistling sound caused by narrowed airways
- 3. C · Glucose in the urine
- 4. C · Wait about 15–30 minutes, as the reading may be falsely low
- 5. D · 흡인물의 pH를 검사하고, 필요하면 흉부 X선을 찍는다
- 6. C · The family's religious and cultural wishes
- 7. C · Arrange it where possible and record the preference in the care plan
- 8. C · "I'll take the gown off at home after I leave the hospital."
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