정답이 있는 우선순위 설정과 위임 학습지

What are Kussmaul respirations?

1. ASlow, shallow breathing after an opioid overdose
2. BShort pauses in breathing during normal sleep
3. CDeep, rapid breathing seen in metabolic acidosis such as DKA
4. DNoisy, high-pitched breathing caused by a blocked upper airway

Which symptoms are classic signs of digoxin toxicity?

1. AHair loss and weight gain
2. BNausea, poor appetite and yellow-green visual halos
3. CHigh blood sugar and increased thirst
4. DA rash, high fever and swollen lymph nodes in the neck

In delegation, what does the “right task” mean?

1. AThe task has been requested by the patient or the patient’s family
2. BThe task is the one the nurse likes least
3. CThe task can be finished in under ten minutes
4. DThe task is one that may be delegated for this patient

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ATouch the hub to check it is clean
2. BRinse the hub with tap water and dry it
3. CBlow on the hub to remove any dust before connecting the syringe or line
4. DScrub the hub with an antiseptic such as chlorhexidine and let it dry

Before giving a medication to a child, which check is especially important?

1. AThat the child likes the taste of the drug
2. BThat the medicine cup is the child’s favorite color
3. CThat the parent agrees with the time it is given
4. DThat the dose is correct for the child’s weight

고관절 치환술 2일 후 환자에게 간호조무사가 해도 되는 업무는 무엇인가요?

1. A마지막 진통제 투여가 통증을 조절했는지 평가하기
2. B퇴원 전에 환자에게 고관절 주의사항 교육하기
3. C고관절 주의사항을 지키면서 환자가 의자에 앉도록 돕기
4. D절개 부위의 발적, 열감, 배액을 확인하기

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Check his glucose and give the insulin according to the sliding scale.”
2. B“Help him wash and change, and tell me at once if you see any red or broken skin.”
3. C“Walk him to the bathroom and back, and stay with him the whole time.”
4. D“Check his glucose before lunch and tell me the number straight away.”

A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?

1. AThe pain from the fracture
2. BThe open fracture of the leg
3. CThe suspected tension pneumothorax
4. DThe risk of wound infection