정답이 있는 우선순위 설정과 위임 학습지

Which serum sodium value is within the normal adult range?

1. A152 mEq/L (152 mmol/L)
2. B120 mEq/L (120 mmol/L)
3. C128 mEq/L (128 mmol/L)
4. D140 mEq/L (140 mmol/L)

Which statement about the nursing process is correct when setting priorities?

1. AAssessment comes first, because the other steps depend on it
2. BEvaluation comes first, before any patient data have been collected
3. CPlanning comes first, before seeing the patient
4. DImplementation comes first, so care starts quickly

Which white blood cell count suggests an infection or inflammation?

1. A7,000/mm³ (7 × 10⁹/L)
2. B18,000/mm³ (18 × 10⁹/L)
3. C8,200/mm³ (8.2 × 10⁹/L)
4. D6,500/mm³ (6.5 × 10⁹/L)

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. ACheck for pain, thirst or a full bladder, and offer toileting
2. BGive a sedative from the as-needed list without first assessing the patient
3. CApply wrist restraints for the rest of the night
4. DRaise all four bed rails so the patient cannot climb out

A nurse cannot read part of a medication order. What should the nurse do?

1. AAsk another nurse to guess what the order most likely says, then give it
2. BContact the prescriber to clarify the order before giving the drug
3. CGive the usual dose of the drug the nurse thinks was meant
4. DSkip the drug and not tell anyone until the next ward round

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. ATell the patient to wait until the next scheduled dose is due in two hours
2. BAssess the location, character and onset of the pain and the vital signs
3. CGive the strongest analgesic on the chart straight away
4. DAsk the nursing assistant to reposition the patient

A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?

1. AAsking the runner to rest in the shade and drink slowly
2. BRapid cooling while supporting airway and circulation
3. CGiving an antipyretic tablet and waiting for it to work
4. DWrapping the runner in a blanket to prevent shivering

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. AGreen (minor)
2. BYellow (delayed)
3. CBlack (expectant)
4. DRed (immediate)