정답이 있는 우선순위 설정과 위임 학습지

우선순위 설정에서 “예상되는” 소견이란 무엇인가요?

1. A환자의 알려진 상태나 치료와 일치하는 소견
2. B환자나 가족이 예측한 소견
3. C항상 성인의 정상 기준 범위 안에 있는 소견
4. D항상 신속대응팀에 즉시 연락해야 하는 소견

What is the normal baseline fetal heart rate?

1. A110–160/min
2. B60–100/min
3. C160–220/min
4. D40–60/min

환자에게 새로운 심부정맥 혈전증이 있고 병동에서 외롭다고도 말합니다. 매슬로 위계를 적용하면 어느 욕구가 먼저인가요?

1. A존중과 인정 욕구
2. B자아실현 욕구
3. C혈전증과 관련된 생리적 욕구
4. D입원 기간의 사랑과 소속 욕구

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will not use oil-based creams on my face.”
2. B“My husband can smoke in my room if the window is open.”
3. C“I will keep the oxygen away from the gas stove.”
4. D“I will put up no-smoking signs at the front door and in my room.”

Before giving a medication to a child, which check is especially important?

1. AThat the parent agrees with the time it is given
2. BThat the dose is correct for the child’s weight
3. CThat the medicine cup is the child’s favorite color
4. DThat the child likes the taste of the drug

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

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

환자가 중심정맥관으로 비경구 영양을 받고 있습니다. 즉각적인 조치가 필요한 소견은 무엇인가요?

1. A주입 중 혈당 150 mg/dL(8.3 mmol/L)
2. B어제보다 0.2 kg 증가한 체중
3. C주입이 예기치 않게 멈춘 뒤 땀, 떨림, 혈당 62 mg/dL(3.4 mmol/L)
4. D관 위의 건조하고 온전한 드레싱

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. ALeave a written note at the station and go home
2. BLeave on time, because the shift has officially ended
3. CStay and tell the charge nurse, and hand over before leaving
4. DAsk a nursing assistant to watch the patients until someone comes