정답이 있는 우선순위 설정과 위임 학습지

Which finding meets the usual definition of orthostatic hypotension?

1. AHeart rate falls by 5/min after lying down
2. BBlood pressure is the same lying and standing
3. CSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
4. DSystolic pressure falls by 20 mmHg or more within 3 minutes of standing

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

1. AThe Glasgow Coma Scale
2. BJumpSTART
3. CThe Braden Scale
4. DThe APGAR score

Which serum sodium value is within the normal adult range?

1. A140 mEq/L (140 mmol/L)
2. B152 mEq/L (152 mmol/L)
3. C120 mEq/L (120 mmol/L)
4. D128 mEq/L (128 mmol/L)

인수인계 후 간호사가 가장 먼저 만나야 할 환자는 누구인가요?

1. A아침 식사 전 혈당이 160 mg/dL(8.9 mmol/L)인 당뇨병 환자
2. B체온 38.2 °C이고 30분 전에 해열제를 투여받은 폐렴 환자
3. C호흡 보조근을 사용하고 SpO₂가 88%인 천식 환자
4. D고관절 치환술 2일 후 통증이 5/10인 환자

Straight after birth, what is the first priority for a healthy-looking newborn?

1. AGive the first bath to remove the blood and vernix
2. BGive the vitamin K injection before anything else is done
3. CDry and warm the baby while checking that it is breathing
4. DWeigh and measure the baby on the scale

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. ANormal aging that needs no action
2. BA personality change that is permanent and expected
3. CDelirium, which needs the cause found quickly
4. DLong-standing dementia that is expected

Which finding after a laparoscopic cholecystectomy is expected and needs only reassurance and comfort measures?

1. AIncreasing abdominal pain with a temperature of 39 °C
2. BA heart rate of 125/min with a falling blood pressure
3. CYellow skin with dark urine on the second day
4. DRight shoulder pain from the gas used during surgery

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Help him wash and change, and tell me at once if you see any red or broken skin.”
2. B“Walk him to the bathroom and back, and stay with him the whole time.”
3. C“Check his glucose and give the insulin according to the sliding scale.”
4. D“Check his glucose before lunch and tell me the number straight away.”