정답이 있는 우선순위 설정과 위임 학습지

다른 조건이 같다면 보통 어느 문제가 우선하나요?

1. A환자의 삶에 더 많은 영향을 주므로 오래된 만성 문제
2. B해결하는 데 시간이 가장 적게 드는 문제
3. C새로 생긴 급성 문제
4. D가족이 가장 걱정하는 문제

Which statement about pulse oximetry is correct?

1. AIt measures the carbon dioxide in the blood
2. BCold fingers or nail polish can give an inaccurate reading
3. CIt shows the patient’s blood glucose
4. DThe reading is always correct, whatever finger or hand is used

간호 우선순위를 정하는 ABC 틀에서 가장 먼저 다루는 요구는 무엇인가요?

1. A기도(Airway)
2. B순환(Circulation)
3. C호흡(Breathing)
4. D통증

방금 암 진단을 들은 환자가 울고 있지만 여러 번 토했고 수분을 삼키지 못합니다. 간호사가 가장 먼저 다루는 것은 무엇인가요?

1. A병원 원목에게 연락하기
2. B진단에 대한 정서적 지지
3. C구토와 수분 손실
4. D항암화학요법에 대한 교육

Which patient on an addiction unit should the nurse see first?

1. ALast drink this morning; asking when lunch will arrive
2. BLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
3. CIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
4. DLast drink one week ago; asking about support groups

A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?

1. AArrange a psychiatry appointment for next week
2. BEnsure constant observation and remove anything he could use to harm himself
3. CReassure him that things usually look better in the morning after some sleep
4. DAsk him to promise he will not harm himself

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

1. AHelping the patient to walk in the corridor alone
2. BEncouraging the patient to drink plenty of water
3. CSeizure precautions and close neurological checks
4. DTeaching the patient about a low-sodium diet at home

A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?

1. AAnxiety that will settle with reassurance
2. BA minor chest infection that can safely wait until the morning round
3. CAcute chest syndrome, which needs urgent escalation and oxygen
4. DAn ordinary pain crisis that will improve with rest