정답이 있는 우선순위 설정과 위임 학습지

In stroke care, what does the “last known well” time mean?

1. AThe last time the patient was seen without stroke symptoms
2. BThe time of the patient’s last meal
3. CThe time the first symptom was noticed by a stranger
4. DThe time the patient arrived at the hospital and was triaged

In which situation can a pulse oximeter give a falsely normal reading?

1. AA patient breathing room air normally
2. BA healthy adult at rest
3. CCarbon monoxide poisoning
4. DA warm, well-perfused finger

What does NPO mean on a patient’s care plan?

1. ANo pain observed
2. BNot for physical therapy
3. CNormal patient observations
4. DNothing by mouth

혼합 내과 병동에서 간호사가 가장 먼저 만나야 할 환자는 누구인가요?

1. A소지품을 나눠 주었고 자살 계획이 있는 우울증 환자
2. B내일 퇴원에 대한 서면 정보를 요청하는 환자
3. C아세트아미노펜을 요청하는 가벼운 긴장성 두통 환자
4. D혈압이 136/84 mmHg인 고혈압 환자

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. APain out of proportion to the injury that worsens when the toes are stretched
2. BA strong pedal pulse with warm, pink toes and pain that settles with analgesia
3. CMild bruising around the fracture site on the second day
4. DItching under the cast during the first week after it was applied

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AGive a drink of water to help the patient wake
2. BProtect the head and turn the patient on their side when possible
3. CHold the arms and legs down firmly to stop the jerking movements quickly
4. DPlace a tongue depressor between the teeth

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

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AWithhold all opioids because they may slow breathing
2. BLeave the patient alone so they can rest
3. CGive prescribed opioids and use positioning and a fan to relieve breathlessness
4. DStart a series of aggressive tests to find the exact cause of the breathlessness