정답이 있는 우선순위 설정과 위임 학습지

Which protective equipment is needed for droplet precautions?

1. AA surgical mask when close to the patient
2. BA fitted N95 respirator at all times in the room
3. CA lead apron and goggles
4. DGloves only, with no mask

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

1. ANormal after a meal
2. BAbnormally fast and needing assessment
3. CSlow, and expected while the patient is asleep
4. DWithin the normal adult range

Which serum potassium result should the nurse report to the provider promptly?

1. A3.8 mEq/L (3.8 mmol/L)
2. B4.9 mEq/L (4.9 mmol/L)
3. C4.2 mEq/L (4.2 mmol/L)
4. D6.4 mEq/L (6.4 mmol/L)

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

1. A환자를 옮기기 전에 의식과 부상 여부를 사정한다
2. B동료의 도움을 받아 환자를 바로 침대로 돌려보낸다
3. C환자 가족에게 전화해 일어난 일을 설명한다
4. D기억이 생생할 때 사고 보고서를 작성한다

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. AA history of high blood pressure for ten years
2. BNew chest pain or confusion suggesting organ damage
3. CMild anxiety about the high reading on the monitor
4. DForgetting to take the blood pressure tablet this morning

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. AStop the transfusion and keep the IV open with normal saline via new tubing
2. BSlow the transfusion and recheck in an hour
3. CFinish the unit quickly through a pressure bag so that the reaction does not last long
4. DGive an antipyretic and continue the transfusion

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3.0 mEq/L. What should the nurse do?

1. AIgnore the result, since potassium is always high in this condition and will correct itself
2. BStart the insulin at once, because the glucose is the bigger problem
3. CReport the result before starting, because insulin will push potassium even lower
4. DGive the insulin as a fast bolus to bring the potassium up

간호조무사에게 위임하기에 적절한 것은 무엇인가요?

1. A수혈 첫 15분 동안 환자 감시
2. B안정된 환자에게서 일상적인 소변 검체 채취
3. C첫 영양 전에 새로 삽입한 비위관 확인
4. D뇌졸중 후 삼킴 선별검사를 받지 않은 환자에게 첫 식사 주기