정답이 있는 우선순위 설정과 위임 학습지

일반적으로 다른 것보다 먼저 다루는 문제 유형은 무엇인가요?

1. A나중에 생길 수 있는 위험 문제
2. B환자가 지금 겪고 있는 실제 문제
3. C퇴원을 위한 학습 요구
4. D이전 간호 계획에 올라 있는 문제

What does “scope of practice” mean?

1. AThe activities a nurse is educated, competent and legally allowed to do
2. BThe highest number of patients a nurse may care for during a single shift
3. CThe hospital areas where a nurse is allowed to work
4. DThe salary range that applies to each nursing role

What are Kussmaul respirations?

1. AShort pauses in breathing during normal sleep
2. BSlow, shallow breathing after an opioid overdose
3. CNoisy, high-pitched breathing caused by a blocked upper airway
4. DDeep, rapid breathing seen in metabolic acidosis such as DKA

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will wear shoes that fit well, even at home.”
2. B“I will check the soles of my feet every day with a mirror.”
3. C“I will soak my feet in hot water every evening.”
4. D“I will dry well between my toes after washing.”

A patient arrives in the recovery room after general anesthesia. What does the nurse assess first?

1. AThe surgical dressing and the drains
2. BUrine output
3. CAirway patency and breathing
4. DThe pain score

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

1. AMeasure blood pressure on the left arm only, every 4 hours
2. BKeep the left arm wrapped tightly in a bandage at night
3. CDo not measure blood pressure on the left arm
4. DHelp the patient carry shopping bags on the left arm

A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?

1. ATremor
2. BTachycardia
3. CSweating
4. DPalpitations

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. ANormal pain after a fracture
2. BAlcohol withdrawal
3. CFat embolism syndrome
4. DAn allergic reaction to the cast