정답이 있는 우선순위 설정과 위임 학습지

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

1. A6.0–7.0
2. B0.5–1.0
3. C2.0–3.0
4. D4.0–5.0

When is the Apgar score usually assessed?

1. AOnly at 24 hours after birth
2. BAt 1 and 5 minutes after birth
3. CAt the first postnatal clinic visit
4. DBefore the baby is born

How many levels does the Emergency Severity Index have?

1. ASix
2. BThree
3. CFour
4. DFive

활력징후가 정상인 안정된 성인의 손에 봉합이 필요한 상처가 있고 다른 문제는 없습니다. 어느 ESI 단계에 해당하나요?

1. A3단계
2. B2단계
3. C5단계
4. D4단계

Which telephone call should a clinic nurse return first?

1. AA parent of a 5-year-old with a runny nose for two days
2. BAn adult who wants to move a routine blood test appointment
3. CAn adult asking for a repeat prescription for a statin
4. DA parent of a 6-week-old with a temperature of 38.3 °C

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

1. A“I will try to hold my breath for a few seconds at the top.”
2. B“I will use it several times every hour while awake.”
3. C“I will blow into it as hard and fast as I can.”
4. D“I will breathe in slowly and deeply through the mouthpiece.”

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. ATrachea shifted away from the affected side, with low blood pressure
2. BMild breathlessness with reduced breath sounds on one side of the chest only
3. CA small air leak seen on a routine chest X-ray
4. DSharp chest pain that is worse on deep breathing

A patient in labor is receiving oxytocin, and the fetal monitor shows repeated late decelerations. What should the nurse do first?

1. APlace the patient flat on her back
2. BEncourage the patient to start pushing
3. CIncrease the oxytocin rate
4. DStop the oxytocin infusion