정답이 있는 우선순위 설정과 위임 학습지

무료 인쇄용 우선순위 설정과 위임 학습지: 쉬운 문제부터 시험 수준까지 8문제, 정답표 포함. 인쇄하거나 PDF로 저장하세요.

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이름: ____________________   날짜: ____________

1.쉬움

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

  1. ABlood clots
  2. BFluid overload
  3. CInfection
  4. DBleeding
2.쉬움

What does the Braden Scale measure?

  1. AThe risk of developing a pressure injury
  2. BThe level of consciousness after a head injury
  3. CThe risk of falling during a hospital stay
  4. DThe severity of alcohol withdrawal symptoms
3.쉬움

In the FAST stroke check, what does the T stand for?

  1. ATremor of the hands
  2. BTemperature
  3. CTime to call emergency services
  4. DTongue movement
4.보통

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

  1. AHeparin-induced thrombocytopenia
  2. BIron deficiency anemia
  3. CVitamin K deficiency
  4. DAn expected effect that needs no action
5.보통

A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?

  1. A“I add extra salt to my food so it tastes better.”
  2. B“I will weigh myself every morning after I use the toilet.”
  3. C“I will take my water tablet in the morning.”
  4. D“I will call if my weight goes up quickly over a day or two.”
6.보통

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

  1. ADo not measure blood pressure on the left arm
  2. BKeep the left arm wrapped tightly in a bandage at night
  3. CHelp the patient carry shopping bags on the left arm
  4. DMeasure blood pressure on the left arm only, every 4 hours
7.어려움

An adult has burns over 40% of the body with no signs of airway injury. Which treatment is the priority during the first hours?

  1. AApplying antibiotic cream to all the burns before anything else
  2. BLarge-volume IV fluids with close monitoring of urine output
  3. CStarting physiotherapy to prevent contractures straight away
  4. DGiving a high-protein meal to support healing
8.어려움

A patient arrives one hour after the start of stroke symptoms. Which step must happen before a thrombolytic drug can be given?

  1. AA swallow test with a cup of water
  2. BA full lipid profile to check cholesterol
  3. CA brain scan to rule out bleeding
  4. DAn echocardiogram to look for clots

정답표

  1. 1. D · Bleeding
  2. 2. A · The risk of developing a pressure injury
  3. 3. C · Time to call emergency services
  4. 4. A · Heparin-induced thrombocytopenia
  5. 5. A · “I add extra salt to my food so it tastes better.”
  6. 6. A · Do not measure blood pressure on the left arm
  7. 7. B · Large-volume IV fluids with close monitoring of urine output
  8. 8. C · A brain scan to rule out bleeding

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