1.쉬움
Which phrase in a question usually signals a priority question?
- A“Which term means inflammation of the liver?”
- B“Which bone is found in the forearm?”
- C“Which action should the nurse take first?”
- D“Which statement describes this drug’s class?”
2.쉬움
Which three things does START triage check in a non-walking adult?
- AAirway, blood glucose and pupils
- BPain score, mobility and age
- CRespirations, perfusion and mental status
- DPulse, blood pressure and body temperature
3.쉬움
What is the purpose of an early warning score, such as the National Early Warning Score (NEWS)?
- ATo calculate the correct drug doses for each patient
- BTo decide the patient’s diet
- CTo measure the patient’s satisfaction with care
- DTo spot deterioration early from routine vital signs
4.보통
A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?
- AForgetting to take the blood pressure tablet this morning
- BNew chest pain or confusion suggesting organ damage
- CA history of high blood pressure for ten years
- DMild anxiety about the high reading on the monitor
5.보통
A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?
- AGive acetaminophen (paracetamol) and reassess in four hours
- BAdvise the family to see their doctor next week
- CTreat it as an emergency and escalate at once
- DApply a soothing cream to the rash
6.보통
고관절 치환술 2일 후 환자에게 간호조무사가 해도 되는 업무는 무엇인가요?
- A고관절 주의사항을 지키면서 환자가 의자에 앉도록 돕기
- B마지막 진통제 투여가 통증을 조절했는지 평가하기
- C퇴원 전에 환자에게 고관절 주의사항 교육하기
- D절개 부위의 발적, 열감, 배액을 확인하기
7.어려움
A patient on a cardiac monitor suddenly becomes unresponsive, and the monitor shows ventricular fibrillation. What is the priority once help has been called?
- AGive an oral antiarrhythmic tablet and recheck the rhythm in five minutes
- BCheck the blood potassium level before any shock is considered
- CDefibrillate as soon as the defibrillator is available, with CPR until then
- DRecord a full 12-lead ECG to confirm the rhythm before doing anything else at all
8.어려움
간호사가 새 간호조무사를 감독하고 있습니다. 간호사는 언제 조무사의 업무를 가장 면밀히 확인해야 하나요?
- A조무사가 그 역할의 자격증을 가지고 있으므로 결코 확인하지 않는다
- B조무사가 어려운 업무에 도움을 요청할 때만
- C조무사가 그 업무에 익숙하지 않거나 환자가 덜 안정적일 때
- D기록을 검토하는 근무 종료 때만
정답표
- 1. C · “Which action should the nurse take first?”
- 2. C · Respirations, perfusion and mental status
- 3. D · To spot deterioration early from routine vital signs
- 4. B · New chest pain or confusion suggesting organ damage
- 5. C · Treat it as an emergency and escalate at once
- 6. A · 고관절 주의사항을 지키면서 환자가 의자에 앉도록 돕기
- 7. C · Defibrillate as soon as the defibrillator is available, with CPR until then
- 8. C · 조무사가 그 업무에 익숙하지 않거나 환자가 덜 안정적일 때
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