정답이 있는 우선순위 설정과 위임 학습지

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. ABlood clots
2. BFluid overload
3. CBleeding
4. DInfection

매슬로의 위계에서 생리적 욕구 바로 다음 단계는 무엇인가요?

1. A자아실현
2. B사랑과 소속
3. C존중과 인정
4. D안전과 안정

In mass-casualty triage, what does a yellow tag usually mean?

1. AMinor: the walking wounded
2. BDeceased or not expected to survive
3. CImmediate: life-threatening injuries that are survivable with quick care
4. DDelayed: serious injuries, but care can safely wait a little

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. AWait for the provider to arrive before doing anything else
2. BClamp the tube for the rest of the shift
3. CPlace the end of the tube in a bottle of sterile water
4. DRemove the tube and cover the site

A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?

1. AAdvise the family to see their doctor next week
2. BApply a soothing cream to the rash
3. CTreat it as an emergency and escalate at once
4. DGive acetaminophen (paracetamol) and reassess in four hours

A nurse gives IV morphine for severe pain. When should the nurse reassess the pain and sedation?

1. AOnly when the patient asks for more
2. BAt the next routine round in four hours
3. CWithin about 15–30 minutes
4. DAt the end of the shift

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

A nursing assistant has twice not reported abnormal vital signs to the RN. What is the RN’s best action?

1. AStop delegating any tasks to the assistant for the rest of the year
2. BComplain about the assistant to the patients during care
3. CSay nothing to the assistant and quietly recheck all of the assistant’s vital signs in secret
4. DTalk to the assistant privately, restate what must be reported and follow up closely