정답이 있는 우선순위 설정과 위임 학습지

올바른 일반 우선순위 규칙은 무엇인가요?

1. A전신 문제가 보통 국소 문제보다 먼저다
2. B심리적 문제가 항상 신체적 문제보다 먼저다
3. C쉽게 해결할 수 있는 문제가 항상 먼저다
4. D국소 문제가 보통 전신 문제보다 먼저다

In delegation, what does the “right task” mean?

1. AThe task is one that may be delegated for this patient
2. BThe task is the one the nurse likes least
3. CThe task can be finished in under ten minutes
4. DThe task has been requested by the patient or the patient’s family

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. AExpected after drinking fluids
2. BNormal for an adult at rest
3. CLow and needing to be reported
4. DHigh, suggesting fluid overload

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. ARh immunoglobulin within 72 hours
2. BA dose of the hepatitis B vaccine instead
3. CVitamin K to the mother
4. DNo treatment is needed

An arterial blood gas shows pH 7.28, PaCO₂ 40 mmHg (5.3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?

1. AMetabolic acidosis
2. BRespiratory alkalosis
3. CRespiratory acidosis
4. DMetabolic alkalosis

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. ABowel sounds and urine color
2. BTemperature and the latest pain score
3. CApical pulse and blood pressure
4. DBlood glucose and weight

A nurse returns to the station to find four messages. Which one is answered first?

1. AThe pharmacy asks when the next delivery should be scheduled
2. BA colleague asks to swap shifts with them next week because of a family wedding
3. CThe laboratory is calling with a critical potassium result of 2.6 mEq/L
4. DA family member wants an update on their father’s progress

상부 위장관 출혈 환자의 심박수가 분당 128회, 혈압이 84/50 mmHg입니다. 아래 모두 처방되어 있습니다. 간호사가 가장 먼저 시작하는 것은 무엇인가요?

1. A굵은 카테터를 통한 정맥 수액이나 수혈
2. B다음 날 아침 진단 내시경 예약
3. C정맥 양성자 펌프 억제제 주입
4. D경구 철분 정제