정답이 있는 우선순위 설정과 위임 학습지

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A99%
2. B96%
3. C97%
4. D89%

What is a transient ischemic attack (TIA)?

1. ABrief stroke-like symptoms that resolve, warning of a possible stroke
2. BA type of migraine with no link to stroke
3. CA heart attack that affects the brain
4. DA stroke that leaves permanent weakness or paralysis on one side of the body

In a three-level triage system, what does “urgent” mean?

1. ASerious but stable for now, and needs care soon
2. BAlready deceased on arrival
3. CLife-threatening and needs care immediately
4. DMinor, and can safely wait for several hours

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

1. AUrine output
2. BAirway patency and breathing
3. CThe surgical dressing and the drains
4. DThe pain score

Which postoperative patient should the nurse see first?

1. AWants help with washing her hair before her visitors arrive this afternoon
2. BPain of 4/10 one hour after an oral analgesic
3. CAsking when the urinary catheter will be removed
4. DDressing soaked with bright red blood and a heart rate rising to 118/min

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. ACheck for signs of low calcium and inform the provider
2. BReassure the patient that this is normal after neck surgery
3. CEncourage deep breaths into a paper bag until it passes
4. DGive the patient’s routine oral iron supplement early

자원이 매우 제한된 재난에서 거의 온몸에 심한 화상을 입은 피해자가 검정으로 분류됩니다. 이 결정을 설명하는 원칙은 무엇인가요?

1. A피해자를 도착한 순서대로 치료하는 것
2. B가장 어린 피해자를 먼저 치료하는 것
3. C가장 많은 사람에게 가장 큰 이익을 주는 것
4. D가장 심하게 다친 사람을 먼저 치료하는 것

A patient is deteriorating quickly. The nurse has called the provider twice, but the provider has not come. What is the best action?

1. AWait another hour and call the provider again
2. BActivate the rapid response team
3. CDocument the concern and continue routine care
4. DAsk the patient’s family to call the provider