정답이 있는 우선순위 설정과 위임 학습지

When a nurse receives a critical lab result by phone, what does “read-back” mean?

1. AWaiting for the written report before doing anything
2. BReading the result to the next shift at handover
3. CReading the result aloud to the patient straight away
4. DRepeating the result back to the caller to confirm it

When is a patient most ready to learn about self-care?

1. AWhile in severe pain, so the lesson feels important
2. BStraight after hearing bad news about a serious new diagnosis
3. CDuring a period of acute breathlessness
4. DWhen pain is controlled and basic physical needs are met

Which term describes a patient who is unable to understand and decide about their own care?

1. AExercising autonomy
2. BLacking decision-making capacity
3. CFully competent
4. DProviding valid informed consent

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

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

A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?

1. AFalling blood pressure, a fast pulse and warm, flushed dry skin
2. BNormal blood pressure, normal pulse and clear speech
3. CRising systolic pressure, slow pulse and irregular breathing
4. DLow temperature, fast breathing and a strong appetite

간호사가 훈련받은 조무사에게 혈당 측정을 위임하고는 결과를 한 번도 묻지 않습니다. 위임의 어느 권리가 빠졌나요?

1. A올바른 감독과 평가
2. B환경에 맞는 올바른 업무
3. C업무에 맞는 올바른 사람
4. D올바른 상황

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

1. AVitamin C deficiency
2. BNormal bruising from blood tests
3. CAn allergic reaction to the adhesive tape
4. DDisseminated intravascular coagulation (DIC)

인수인계 후 간호사가 가장 먼저 사정해야 할 환자는 누구인가요?

1. A대퇴 심도자술 1시간 후: 새로운 등 통증, 맥박 분당 118회, 혈압 92/58 mmHg
2. B2 L/min 산소를 쓰는 COPD: SpO₂ 90%, 호흡수 분당 22회, 평소 기저 상태
3. C제2형 당뇨병: 점심 전 혈당 210 mg/dL(11.7 mmol/L), 증상 없음
4. D담낭 수술 2일째: 통증 6/10, 다음 진통제는 30분 후 예정