정답이 있는 우선순위 설정과 위임 학습지

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. AClose doors to contain the fire and smoke
2. BUse an extinguisher on the fire
3. CRescue patients in immediate danger
4. DPull the fire alarm

Which task can the RN usually assign to an LPN/LVN?

1. AChanging the dressing on a stable, healing wound
2. BTriaging a new arrival in the emergency department
3. CDoing the admission assessment of a new patient
4. DWriting the patient’s initial plan of care

In mmHg, what is the normal range for arterial PaCO₂?

1. A35–45 mmHg
2. B80–100 mmHg
3. C22–26 mmHg
4. D7.35–7.45 mmHg

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

1. ATurn the feed off only while the patient is asleep at night
2. BKeep the head of the bed raised to at least 30 degrees
3. CIncrease the feed rate so the stomach empties sooner
4. DLay the patient flat for an hour after each bag is hung

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AGet the patient some carbohydrate food now and check the glucose
2. BTell the patient to wait and do nothing until the tray comes
3. CGive a second, smaller dose of insulin when the meal tray finally arrives
4. DAsk the patient to walk around the ward until the food arrives

After a hip replacement using a posterior approach, which statement shows a need for further teaching?

1. A“I will keep a pillow between my knees when I lie on my side in bed.”
2. B“I will not bend my hip past 90 degrees.”
3. C“I will use a raised toilet seat at home.”
4. D“I will cross my legs when I sit, so I am more comfortable.”

A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?

1. ATell the patient that refusing treatment is not allowed in hospital
2. BGive the transfusion while the patient is asleep, because saving their life comes first
3. CAsk the family to persuade the patient until they agree
4. DRespect the refusal, check the patient understands the risks and inform the provider

An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?

1. ALet the LPN/LVN continue, since crushing makes the tablet easier to swallow
2. BReport the LPN/LVN at the end of the month without saying anything now
3. CTell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime
4. DStop the LPN/LVN and contact the prescriber or pharmacist about another form