정답이 있는 우선순위 설정과 위임 학습지

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

1. AWanting praise for progress in rehabilitation
2. BNeeding pain relief after surgery
3. CWanting family members to visit
4. DNeeding the call light within reach

Which of these is one of the standard “rights” of medication administration?

1. ARight colleague
2. BRight ward
3. CRight patient
4. DRight brand

간호사가 가장 먼저 조치해야 할 성인 소견은 무엇인가요?

1. A심박수 분당 98회
2. B혈압 138/88 mmHg이며 완전히 명료함
3. C체온 37.8 °C (100 °F)
4. D호흡수 분당 8회이고 졸려 함

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

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

심장 모니터에 환자의 직선(무수축)이 보이지만 환자는 앉아서 말을 하고 있습니다. 간호사가 가장 먼저 해야 할 일은 무엇인가요?

1. A심정지 팀을 호출한다
2. B즉시 가슴 압박을 시작한다
3. C제세동기를 준비해 충격을 준비한다
4. D환자와 전극 선을 확인한다

Which newborn finding needs prompt reporting?

1. AMild jaundice that first appears on the third day
2. BMilia (small white spots) on the nose
3. CJaundice that appears within the first 24 hours
4. DBluish hands and feet in the first hours

Which patient finding after a total knee replacement needs the nurse’s action first?

1. APain of 4/10 when the physiotherapist bends the knee during the morning session
2. BSudden calf pain and swelling in the operated leg, with new breathlessness
3. CAsks for an ice pack to help with swelling around the knee
4. DA small amount of dried blood on the dressing

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will keep my daily salt intake about the same as usual.”
2. B“I will take ibuprofen every day for my headaches.”
3. C“I will go for my blood tests as planned.”
4. D“I will drink enough fluid every day.”