1.쉬움
What does “scope of practice” mean?
- AThe hospital areas where a nurse is allowed to work
- BThe highest number of patients a nurse may care for during a single shift
- CThe activities a nurse is educated, competent and legally allowed to do
- DThe salary range that applies to each nursing role
2.쉬움
Which pain scale is designed for infants and young children who cannot describe their pain?
- AThe Braden Scale
- BThe FLACC scale
- CThe Glasgow Coma Scale
- DThe Morse Fall Scale
3.쉬움
Which body temperature is a fever in an adult?
- A36.4 °C
- B38.5 °C
- C36.8 °C
- D37.1 °C
4.보통
A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?
- AAssess the lungs, oxygen saturation and swelling, then inform the provider
- BEncourage extra fluids to correct the weight change
- CRecord the weight on the chart and recheck it at the next weekly weigh-in
- DLay the patient flat to help them breathe more easily
5.보통
An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?
- AVitamin K to the mother
- BNo treatment is needed
- CRh immunoglobulin within 72 hours
- DA dose of the hepatitis B vaccine instead
6.보통
Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?
- AIron deficiency anemia
- BAn expected effect that needs no action
- CHeparin-induced thrombocytopenia
- DVitamin K deficiency
7.어려움
A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?
- AA minor chest infection that can safely wait until the morning round
- BAnxiety that will settle with reassurance
- CAn ordinary pain crisis that will improve with rest
- DAcute chest syndrome, which needs urgent escalation and oxygen
8.어려움
Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?
- ADehydration from drinking too much
- BA side effect of eating salty food
- CNormal healing of the transplant
- DRejection of the transplant
정답표
- 1. C · The activities a nurse is educated, competent and legally allowed to do
- 2. B · The FLACC scale
- 3. B · 38.5 °C
- 4. A · Assess the lungs, oxygen saturation and swelling, then inform the provider
- 5. C · Rh immunoglobulin within 72 hours
- 6. C · Heparin-induced thrombocytopenia
- 7. D · Acute chest syndrome, which needs urgent escalation and oxygen
- 8. D · Rejection of the transplant
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