정답이 있는 우선순위 설정과 위임 학습지

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A97%
2. B96%
3. C99%
4. D89%

What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?

1. ATo spot deterioration early from routine vital signs
2. BTo measure the patient’s satisfaction with care
3. CTo calculate the correct drug doses for each patient
4. DTo decide the patient’s diet

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe hospital’s chief executive
2. BThe patient’s next of kin
3. CThe pharmacy technician on duty that day
4. DThe charge nurse or nursing supervisor

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“I will carry the tablets with me when I go out.”
2. B“I will sit or lie down when I take a tablet.”
3. C“I will take five tablets one after the other before I call for help.”
4. D“If the pain has not eased as my action plan says, I will call emergency services.”

A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?

1. ANew chest pain or confusion suggesting organ damage
2. BForgetting to take the blood pressure tablet this morning
3. CMild anxiety about the high reading on the monitor
4. DA history of high blood pressure for ten years

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. AIV isotonic fluid such as 0.9% sodium chloride
2. BA high-carbohydrate meal
3. CSubcutaneous long-acting insulin only, given once
4. DOral potassium tablets

A patient with raised intracranial pressure is being nursed on the ward. Which position is best?

1. ASitting forward with the chin on the chest
2. BHead of the bed at about 30 degrees with the neck straight
3. CHead down with the legs raised above the heart
4. DFlat on the back with the head turned well over to one side

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

1. AEncourage the patient to keep coughing and stay with them
2. BGive abdominal thrusts straight away until the food comes out
3. CGive the patient water to wash the food down
4. DSweep the mouth blindly with a finger