정답이 있는 우선순위 설정과 위임 학습지

3단계 트리아지 체계에서 응급(emergent)인 환자는 누구인가요?

1. A땀과 숨참을 동반한 흉통
2. B활력징후가 정상인 이틀간의 복통
3. C열이 없는 3일간의 발진
4. D반복 처방전 요청

What does a “PRN” medication order mean?

1. AGive the drug at exactly the same time every single day
2. BGive the drug when needed, within the prescribed limits
3. CGive the drug only before surgery
4. DGive the drug once only, immediately

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A18%
2. B36%
3. C1%
4. D9%

START 트리아지에서 걷지 못하는 성인이 분당 36회 호흡합니다. 이 피해자는 어느 범주로 분류되나요?

1. A초록(경증)
2. B빨강(즉시)
3. C노랑(지연)
4. D검정(기대 불가)

Which newborn finding needs prompt reporting?

1. AMilia (small white spots) on the nose
2. BMild jaundice that first appears on the third day
3. CBluish hands and feet in the first hours
4. DJaundice that appears within the first 24 hours

An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?

1. ADiphenhydramine
2. BAcetaminophen (paracetamol)
3. CA warm milky drink
4. DMelatonin

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. AUse the room number as the main identifier
2. BCheck two identifiers against the wristband and the medication record
3. CAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
4. DAsk a nursing assistant which patient is which

Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?

1. APhysical restraint until the spasm passes
2. BNo action, because the spasm is a sign of improvement
3. CA higher dose of haloperidol to calm the patient and stop the movements quickly
4. DAn anticholinergic drug, such as benztropine or procyclidine, as prescribed