정답이 있는 우선순위 설정과 위임 학습지

What is the CIWA scale used to assess?

1. AThe risk of a pressure injury
2. BThe severity of a newborn’s jaundice
3. CThe depth of a burn wound
4. DThe severity of alcohol withdrawal

Which phrase in a question usually signals a priority question?

1. A“Which bone is found in the forearm?”
2. B“Which statement describes this drug’s class?”
3. C“Which term means inflammation of the liver?”
4. D“Which action should the nurse take first?”

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

1. AA 12-lead ECG
2. BA chest CT scan
3. CA lipid profile
4. DAn exercise stress test

간호사가 간호조무사가 확실히 너무 작은 커프로 혈압을 재는 것을 봅니다. 간호사는 어떻게 해야 하나요?

1. A한 번의 높은 측정값은 중요하지 않으므로 무시한다
2. B나중에 조무사의 연례 평가 때 이야기한다
3. C지금 개입하여 기술을 예의 바르게 바로잡고 다시 잰다
4. D조무사를 그날 환자 돌봄에서 제외한다

On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?

1. ADay 1 after an uncomplicated vaginal birth, stable vital signs
2. BSevere pre-eclampsia on a magnesium sulfate infusion
3. CA new admission transferred from the labor ward with a fever of 38.6 °C
4. DOne hour after birth with heavy bleeding and a boggy uterus

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. ANormal pain after surgery
2. BA urinary tract infection
3. CA pressure injury on the heel
4. DDislocation of the new hip

On a cardiac step-down unit, which patient should the nurse assess first?

1. AAtrial fibrillation on warfarin with an INR of 2.6 this morning
2. BDay 2 after a pacemaker insertion, asking when the wound dressing will be changed
3. CHeart failure, weight up 0.5 kg since yesterday, no breathlessness at rest
4. DSix hours after a coronary stent, new chest pain with ST elevation on the monitor

간호사가 처방된 용량이 안전하지 않다고 생각합니다. 처방자는 그래도 주라고 합니다. 간호사는 어떻게 해야 하나요?

1. A절충안으로 절반 용량을 주고 이유를 기록한다
2. B갈등을 피하려고 아무 말 없이 조용히 건너뛴다
3. C용량을 보류하고 보고 체계를 통해 상급자에게 알린다
4. D이제 처방자가 책임지므로 용량을 투여한다