정답이 있는 우선순위 설정과 위임 학습지

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe pharmacy technician on duty that day
2. BThe charge nurse or nursing supervisor
3. CThe patient’s next of kin
4. DThe hospital’s chief executive

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A99%
2. B89%
3. C96%
4. D97%

What does the Braden Scale measure?

1. AThe risk of falling during a hospital stay
2. BThe severity of alcohol withdrawal symptoms
3. CThe risk of developing a pressure injury
4. DThe level of consciousness after a head injury

Which action by a nursing assistant needs the nurse to step in?

1. ACleaning hands before entering the room
2. BLowering the bed to its lowest position and locking the wheels after care
3. CTaking an oral temperature just after the patient drank cold water
4. DPutting the call light within the patient’s reach

A parent calls to say their toddler has just swallowed drain cleaner. What should the nurse advise?

1. AMake the child vomit straight away to bring up the chemical
2. BDo not make the child vomit; call poison control or emergency services now
3. CWait to see whether the child develops any symptoms first
4. DGive a large glass of fizzy drink or milk to dilute the cleaner before calling anyone

간호사가 침대 옆 바닥에 쓰러져 있는 환자를 발견했습니다. 첫 번째 행동은 무엇인가요?

1. A환자 가족에게 전화해 일어난 일을 설명한다
2. B기억이 생생할 때 사고 보고서를 작성한다
3. C환자를 옮기기 전에 의식과 부상 여부를 사정한다
4. D동료의 도움을 받아 환자를 바로 침대로 돌려보낸다

지속적 방광 세척을 하는 경요도 전립선 절제술 후 예상 밖이며 조치가 필요한 환자 소견은 무엇인가요?

1. A덩어리가 섞인 선홍색 소변과 도뇨관으로 나오는 흐름 감소
2. B도뇨관이 있는데도 소변을 보고 싶은 느낌
3. C하루 동안 점점 맑아지는 옅은 분홍색 소변
4. D처방된 진경제로 가라앉는 가벼운 방광 경련

A patient taking an MAO inhibitor antidepressant is taught about diet. Which statement shows a need for further teaching?

1. A“I can still eat aged cheese and cured salami.”
2. B“I will check with the pharmacist before cold remedies.”
3. C“A sudden severe headache is a warning sign.”
4. D“I will avoid tap beer and red wine.”