정답이 있는 우선순위 설정과 위임 학습지

간호조무사가 네 가지 소견을 보고합니다. 간호사가 가장 먼저 확인해야 할 것은 무엇인가요?

1. A친척에게 전화하고 싶어 하는 환자
2. B담요를 한 장 더 달라고 하는 환자
3. C갑자기 오른팔을 움직이지 못하는 환자
4. D아침 식사를 다 먹지 못한 환자

What should the nurse try before using physical restraints on a confused patient?

1. AUsing restraints at once and removing them later if they turn out not to be needed
2. BRestraining all four limbs to be fully safe
3. CAsking the family to bring restraints from home
4. DLess restrictive measures, such as more frequent checks or a bed alarm

Which patient is unstable?

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

간호조무사가 환자의 혈압이 168/98 mmHg(앞서 130/80)이고 환자가 두통이 있다고 보고합니다. RN은 어떻게 해야 하나요?

1. A조무사에게 필요시 항고혈압제를 지금 주라고 한다
2. B조무사에게 한 시간 뒤에 혈압을 다시 재라고 한다
3. C수치를 기록하고 투약 업무를 계속한다
4. D환자를 사정하고 혈압을 다시 재며 증상을 살핀다

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. AA urinary tract infection
2. BNormal pain after surgery
3. CA pressure injury on the heel
4. DDislocation of the new hip

간호사가 간호조무사에게 기계식 리프트 사용을 요청합니다. 조무사는 사용 교육을 받은 적이 없다고 말합니다. 간호사가 고집한다면 위임의 어느 권리가 침해되나요?

1. A올바른 업무
2. B올바른 감독과 평가
3. C올바른 지시와 의사소통
4. D올바른 사람

A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?

1. AAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
2. BGive the as-needed sedative so the patient rests comfortably
3. CIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
4. DLet the patient sleep, because the saturation is above target

An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?

1. ALet the LPN/LVN continue, since crushing makes the tablet easier to swallow
2. BReport the LPN/LVN at the end of the month without saying anything now
3. CTell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime
4. DStop the LPN/LVN and contact the prescriber or pharmacist about another form