정답이 있는 우선순위 설정과 위임 학습지

위임에서 “올바른 감독과 평가”는 무엇을 뜻하나요?

1. A책임간호사가 근무 종료 때 위임된 모든 업무에 서명한다
2. B위임받은 사람이 나중에 자신의 일을 확인하고 서명한다
3. C간호사가 위임된 모든 업무를 한순간도 빠짐없이 지켜본다
4. D간호사가 후속 확인을 하고 필요하면 개입하며 결과를 점검한다

Which patient is unstable?

1. AA patient waiting for a planned hip X-ray
2. BA patient with a healing leg wound and normal vital signs this morning
3. CA patient with a new irregular pulse who says they feel dizzy
4. DA patient with long-standing arthritis pain of 3/10

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. AUse an extinguisher on the fire
2. BClose doors to contain the fire and smoke
3. CPull the fire alarm
4. DRescue patients in immediate danger

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I will sit down before I take a tablet.”
2. B“I may get a headache after taking a tablet.”
3. C“I will swallow the tablet with a glass of water.”
4. D“I will keep the tablets in their original dark container.”

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AStop the heparin infusion and inform the provider
2. BCheck the pump rate and leave the infusion running
3. CGive a dose of vitamin K by mouth
4. DOffer an iron-rich meal to replace the lost blood

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. ABlood glucose and weight
2. BBowel sounds and urine color
3. CApical pulse and blood pressure
4. DTemperature and the latest pain score

간호사가 가장 먼저 만나야 할 아동은 누구인가요?

1. A콧방울 확장, 흉벽 함몰, SpO₂ 89%가 있는 RSV 영아
2. B체온이 38.4 °C이고 장난감을 갖고 노는 걸음마기 아이
3. C다리에 깁스를 하고 마실 것을 요청하는 학령기 아이
4. D최대 호기 유량이 자신의 최고치의 90%인 천식 청소년

After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?

1. ADiabetic ketoacidosis
2. BSIADH
3. CDiabetes insipidus
4. DAcute kidney injury with oliguria