정답이 있는 우선순위 설정과 위임 학습지

일반적으로 우선순위가 가장 높은 환자 문제는 무엇인가요?

1. A약물에 대한 지식 부족
2. B기도 폐쇄
3. C급성 통증
4. D불안

위임에서 “올바른 감독과 평가”는 무엇을 뜻하나요?

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

Which finding is expected in a patient with long-standing COPD?

1. AA barrel-shaped chest
2. BSudden sharp chest pain
3. CAn SpO₂ of 78%
4. DNew confusion

A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?

1. AHold the next dose and report it promptly
2. BGive the next dose early to finish the course
3. CAdvise the patient to use ear drops
4. DReassure the patient that it is a normal effect

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Silence the alarm and I will check it at the end of the shift.”
2. B“I will come and check the pump and the IV site now.”
3. C“Turn the pump off and on again until it stops.”
4. D“Increase the rate a little so the alarm clears.”

An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?

1. AA warm milky drink
2. BAcetaminophen (paracetamol)
3. CDiphenhydramine
4. DMelatonin

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. AAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
2. BUse the room number as the main identifier
3. CAsk a nursing assistant which patient is which
4. DCheck two identifiers against the wristband and the medication record

START 트리아지에서 걷지 못하는 성인이 분당 28회 호흡하고 요골 맥박이 없으며 모세혈관 재충혈 시간이 4초입니다. 이 피해자는 어느 범주로 분류되나요?

1. A검정(기대 불가)
2. B빨강(즉시)
3. C초록(경증)
4. D호흡수가 분당 30회 미만이므로 노랑(지연)