정답이 있는 우선순위 설정과 위임 학습지

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe Morse Fall Scale
2. BThe Glasgow Coma Scale
3. CThe Braden Scale
4. DThe FLACC scale

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. ADeciding whether a pressure injury has got worse since yesterday
2. BTurning and repositioning the patient every 2 hours
3. CPlanning the patient’s skin care
4. DChoosing which wound dressing to use

In US units, which blood urea nitrogen (BUN) result is within the normal adult range?

1. A2 mg/dL
2. B70 mg/dL
3. C45 mg/dL
4. D15 mg/dL

A nurse takes a telephone order from a provider. What must the nurse do?

1. ACarry out the order first and ask the provider to confirm it later
2. BRemember the order and write it in the chart at the end of the shift
3. CAsk the ward clerk to take the order on the nurse’s behalf instead
4. DWrite the order down and read it back to the provider to confirm it

간호사가 지난 한 시간 동안 혈압이 떨어지고 있는 환자의 일상적인 활력징후 측정을 간호조무사에게 위임합니다. 위임의 어느 권리가 충족되지 않았나요?

1. A올바른 업무. 활력징후는 결코 위임할 수 없기 때문이다
2. B올바른 사람
3. C올바른 상황
4. D올바른 지시와 의사소통

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AJaw thrust, keeping the head and neck in line
2. BTurning the head to the side to drain water
3. CRaising the chin while bending the neck forward
4. DHead-tilt, chin-lift with full neck extension

Four stable patients need routine morning care. To reduce the spread of infection, which patient should the nurse visit first?

1. AA patient with an MRSA wound infection
2. BA patient with influenza on droplet precautions
3. CA patient with C. difficile diarrhea
4. DA patient with neutropenia after chemotherapy

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. APlacing the victim in the waiting room until a doctor is free
2. BFull assessment inside the main department straight away
3. CTaking the victim straight to the X-ray department
4. DDecontamination before the victim enters the treatment area