정답이 있는 우선순위 설정과 위임 학습지

Which triage method is designed for children in mass-casualty incidents?

1. AJumpSTART
2. BThe Glasgow Coma Scale
3. CThe APGAR score
4. DThe Braden Scale

What is the usual adult reference range for serum potassium?

1. AAbout 6.0–8.0 mEq/L
2. BAbout 3.5–5.0 mEq/L
3. CAbout 135–145 mEq/L
4. DAbout 1.5–2.5 mEq/L

Before giving a medication, how many patient identifiers should the nurse check?

1. ANone, if the nurse already knows the patient well
2. BAt least two, such as name and date of birth
3. COne, the room number
4. DOne, the bed number

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“I will tell the nurse if she becomes very sleepy or hard to wake.”
2. B“The pump has limits set by the nurse so she cannot get too much at once.”
3. C“Only she should press the button when she needs pain relief.”
4. D“I will press the button for her while she is asleep so she stays comfortable.”

Which action helps prevent a catheter-associated urinary tract infection?

1. ALeaving the catheter in place longer than needed
2. BRaising the drainage bag above the bladder when walking
3. CDisconnecting the bag every shift to empty it
4. DKeeping the drainage bag below the level of the bladder

A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?

1. A“I will wait until tomorrow morning to see if the reading gets better on its own.”
2. B“I will stop all my inhalers until the reading is back up.”
3. C“I will use my reliever inhaler and get emergency help straight away.”
4. D“I will go for a short run to open up my lungs.”

A patient taking an MAO inhibitor antidepressant is taught about diet. Which statement shows a need for further teaching?

1. A“I will avoid tap beer and red wine.”
2. B“I can still eat aged cheese and cured salami.”
3. C“I will check with the pharmacist before cold remedies.”
4. D“A sudden severe headache is a warning sign.”

간호사가 가장 먼저 조치해야 할 간호조무사의 보고는 무엇인가요?

1. A폐렴 환자가 노란 가래를 뱉었다
2. B침상 안정 중인 환자가 변기를 요청한다
3. C당뇨병 환자가 평소처럼 발이 자주 저린다고 말한다
4. D오늘 아침 요추 유합술 후 다리를 느끼지도 움직이지도 못한다