1.쉬움
응급 중증도 지수(ESI)에서 1단계는 무엇을 뜻하나요?
- A두 가지 이상의 자원이 필요함
- B가장 덜 긴급한 환자임
- C신속 진료 구역에서 진료받을 만큼 안정적임
- D즉각적인 생명 구조 중재가 필요함
2.쉬움
Which blood pressure in an adult suggests hypotension?
- A126/82 mmHg
- B82/48 mmHg
- C110/70 mmHg
- D118/76 mmHg
3.쉬움
Which platelet count is within the normal adult range?
- A250,000/mm³ (250 × 10⁹/L)
- B700,000/mm³ (700 × 10⁹/L)
- C90,000/mm³ (90 × 10⁹/L)
- D40,000/mm³ (40 × 10⁹/L)
4.보통
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?
- AEnsure constant observation and remove anything he could use to harm himself
- BReassure him that things usually look better in the morning after some sleep
- CAsk him to promise he will not harm himself
- DArrange a psychiatry appointment for next week
5.보통
A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?
- AEncourage a large meal to settle the stomach
- BStop all insulin until the patient is able to eat normally again
- CCheck the blood glucose and ketones and contact the provider
- DWait until tomorrow to see if the vomiting settles
6.보통
A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?
- ATell him the voices are not real and leave him alone
- BKeep everyone safe and tell the team, as the risk of harm is high
- CAsk the roommate to stay in the room with him and help calm him down
- DIgnore the comment, because voices are part of his illness
7.어려움
간호사가 가장 먼저 만나야 할 아동은 누구인가요?
- A최대 호기 유량이 자신의 최고치의 90%인 천식 청소년
- B다리에 깁스를 하고 마실 것을 요청하는 학령기 아이
- C체온이 38.4 °C이고 장난감을 갖고 노는 걸음마기 아이
- D콧방울 확장, 흉벽 함몰, SpO₂ 89%가 있는 RSV 영아
8.어려움
A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?
- AAsk the family to persuade the patient until they agree
- BTell the patient that refusing treatment is not allowed in hospital
- CGive the transfusion while the patient is asleep, because saving their life comes first
- DRespect the refusal, check the patient understands the risks and inform the provider
정답표
- 1. D · 즉각적인 생명 구조 중재가 필요함
- 2. B · 82/48 mmHg
- 3. A · 250,000/mm³ (250 × 10⁹/L)
- 4. A · Ensure constant observation and remove anything he could use to harm himself
- 5. C · Check the blood glucose and ketones and contact the provider
- 6. B · Keep everyone safe and tell the team, as the risk of harm is high
- 7. D · 콧방울 확장, 흉벽 함몰, SpO₂ 89%가 있는 RSV 영아
- 8. D · Respect the refusal, check the patient understands the risks and inform the provider
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