정답이 있는 우선순위 설정과 위임 학습지

Which blood pressure in an adult suggests hypotension?

1. A110/70 mmHg
2. B126/82 mmHg
3. C118/76 mmHg
4. D82/48 mmHg

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

1. AInfection
2. BFluid overload
3. CBleeding
4. DBlood clots

What is the normal baseline fetal heart rate?

1. A60–100/min
2. B110–160/min
3. C40–60/min
4. D160–220/min

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. AEncourage the patient to drink more water
2. BGive a prescribed diuretic straight away
3. CRemove the catheter and wait for the patient to void
4. DCheck the tubing for kinks or obstruction

A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?

1. A“I add extra salt to my food so it tastes better.”
2. B“I will take my water tablet in the morning.”
3. C“I will call if my weight goes up quickly over a day or two.”
4. D“I will weigh myself every morning after I use the toilet.”

간호사(RN)가 간호조무사에게 “12호실 환자 좀 봐 주세요”라고 말합니다. 위임의 어느 권리가 빠졌나요?

1. A올바른 상황
2. B환경에 맞는 올바른 업무
3. C업무에 맞는 올바른 사람
4. D올바른 지시와 의사소통

자원이 매우 제한된 재난에서 거의 온몸에 심한 화상을 입은 피해자가 검정으로 분류됩니다. 이 결정을 설명하는 원칙은 무엇인가요?

1. A가장 어린 피해자를 먼저 치료하는 것
2. B피해자를 도착한 순서대로 치료하는 것
3. C가장 많은 사람에게 가장 큰 이익을 주는 것
4. D가장 심하게 다친 사람을 먼저 치료하는 것

A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?

1. AKeep the legs raised above the heart as much as possible
2. BKeep the legs level or slightly lowered, not raised
3. CSit with the legs crossed to improve blood flow
4. DWrap the legs tightly with compression bandages