정답이 있는 우선순위 설정과 위임 학습지

Which protective equipment is needed for droplet precautions?

1. AA surgical mask when close to the patient
2. BGloves only, with no mask
3. CA lead apron and goggles
4. DA fitted N95 respirator at all times in the room

위임에서 “올바른 감독과 평가”는 무엇을 뜻하나요?

1. A간호사가 후속 확인을 하고 필요하면 개입하며 결과를 점검한다
2. B책임간호사가 근무 종료 때 위임된 모든 업무에 서명한다
3. C간호사가 위임된 모든 업무를 한순간도 빠짐없이 지켜본다
4. D위임받은 사람이 나중에 자신의 일을 확인하고 서명한다

Which symptoms suggest high blood glucose (hyperglycemia)?

1. ASweating, shaking and a fast pulse
2. BSudden hunger with cold, clammy skin
3. CConfusion that improves quickly with juice
4. DIncreased thirst and passing more urine

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. ASpeak loudly and slowly in English
2. BAsk the patient’s 10-year-old child to translate
3. CUse a professional medical interpreter
4. DUse hand gestures and hope the patient understands

Which patient is at the highest risk of falling?

1. AAn 84-year-old taking a diuretic who has fallen before and gets up at night
2. BA 45-year-old with asthma who is alert and independent
3. CA 60-year-old admitted for chest pain that has since been ruled out by tests
4. DA 30-year-old after an appendectomy who walks with steady steps

Which newborn finding needs prompt reporting?

1. AJaundice that appears within the first 24 hours
2. BMilia (small white spots) on the nose
3. CMild jaundice that first appears on the third day
4. DBluish hands and feet in the first hours

환자가 중심정맥관으로 비경구 영양을 받고 있습니다. 즉각적인 조치가 필요한 소견은 무엇인가요?

1. A관 위의 건조하고 온전한 드레싱
2. B주입이 예기치 않게 멈춘 뒤 땀, 떨림, 혈당 62 mg/dL(3.4 mmol/L)
3. C어제보다 0.2 kg 증가한 체중
4. D주입 중 혈당 150 mg/dL(8.3 mmol/L)

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. AAsk a nursing assistant to do it instead
2. BDo it just this once and promise the provider not to do it again
3. CDecline, explain why and suggest who can safely do it
4. DDo it, because the provider gave the instruction