1.쉬움
What does the Braden Scale measure?
- AThe level of consciousness after a head injury
- BThe risk of falling during a hospital stay
- CThe risk of developing a pressure injury
- DThe severity of alcohol withdrawal symptoms
2.쉬움
Which drug is used to reverse the effect of warfarin?
- AFlumazenil
- BNaloxone
- CVitamin K
- DProtamine sulfate
3.쉬움
Which finding in an infant is a sign of breathing difficulty?
- AA strong cry
- BPink, warm hands and feet
- CNasal flaring
- DWet diapers every few hours
4.보통
An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?
- AAcetaminophen (paracetamol)
- BDiphenhydramine
- CMelatonin
- DA warm milky drink
5.보통
A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?
- A“I will wait until tomorrow morning to see if the reading gets better on its own.”
- B“I will use my reliever inhaler and get emergency help straight away.”
- C“I will stop all my inhalers until the reading is back up.”
- D“I will go for a short run to open up my lungs.”
6.보통
A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?
- A“I will keep my child home from school and away from others while unwell.”
- B“I will give my child aspirin to bring the fever down.”
- C“I will give my child plenty of fluids.”
- D“I will call if my child has trouble breathing.”
7.어려움
간호조무사가 환자의 첫 모르핀 투여 15분 후 활력징후를 쟀습니다. 호흡수가 분당 10회이고 환자를 깨우기 어렵다고 보고합니다. 간호사는 어떻게 해야 하나요?
- A조무사에게 15분 뒤 호흡수를 다시 재고 보고하라고 한다
- B환자를 보러 가기 전에 의료인에게 전화해 처방을 받는다
- C소견을 기록하고 다음 정기 회진 때 의료인에게 알린다
- D즉시 가서 환자를 깨우고, 호흡을 보조하며, 처방에 따라 날록손을 준비한다
8.어려움
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?
- AThe open fracture of the leg
- BThe risk of wound infection
- CThe pain from the fracture
- DThe suspected tension pneumothorax
정답표
- 1. C · The risk of developing a pressure injury
- 2. C · Vitamin K
- 3. C · Nasal flaring
- 4. B · Diphenhydramine
- 5. B · “I will use my reliever inhaler and get emergency help straight away.”
- 6. B · “I will give my child aspirin to bring the fever down.”
- 7. D · 즉시 가서 환자를 깨우고, 호흡을 보조하며, 처방에 따라 날록손을 준비한다
- 8. D · The suspected tension pneumothorax
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