정답이 있는 우선순위 설정과 위임 학습지

Why may a full-thickness burn feel painless at its center?

1. AThe nerve endings in the skin have been destroyed
2. BThe patient has been given too much fluid
3. CThe burn has already fully healed
4. DThe burn only affects the thin surface layer of the skin

위임에서 “올바른 감독과 평가”는 무엇을 뜻하나요?

1. A위임받은 사람이 나중에 자신의 일을 확인하고 서명한다
2. B간호사가 후속 확인을 하고 필요하면 개입하며 결과를 점검한다
3. C간호사가 위임된 모든 업무를 한순간도 빠짐없이 지켜본다
4. D책임간호사가 근무 종료 때 위임된 모든 업무에 서명한다

Which phrase in a question usually signals a priority question?

1. A“Which term means inflammation of the liver?”
2. B“Which statement describes this drug’s class?”
3. C“Which bone is found in the forearm?”
4. D“Which action should the nurse take first?”

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will cross my legs when I sit, so I am more comfortable.”
2. B“I will not bend my hip past 90 degrees.”
3. C“I will keep a pillow between my knees when I lie on my side in bed.”
4. D“I will use a raised toilet seat at home.”

A patient has a serum potassium of 2.9 mEq/L. Which finding should the nurse expect?

1. AA rise in urine output and thirst only
2. BFlushed, warm skin and a slow heart rate
3. CMuscle weakness and U waves on the ECG
4. DTall, peaked T waves and muscle twitching

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. ADetails of the nurse’s own break times that shift
2. BThe patient’s favorite television programs and hobbies
3. CThe patient’s current condition, recent changes and pending tasks
4. DPersonal opinions about the patient’s family members and their visiting habits

간호사가 처방된 용량이 안전하지 않다고 생각합니다. 처방자는 그래도 주라고 합니다. 간호사는 어떻게 해야 하나요?

1. A갈등을 피하려고 아무 말 없이 조용히 건너뛴다
2. B절충안으로 절반 용량을 주고 이유를 기록한다
3. C이제 처방자가 책임지므로 용량을 투여한다
4. D용량을 보류하고 보고 체계를 통해 상급자에게 알린다

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AThe drain is working normally and no action is needed
2. BAn air leak in the patient or the system that needs checking
3. CThe suction is set too low and needs to be turned up
4. DThe lung has fully re-expanded, so the drain is ready to come out