정답이 있는 우선순위 설정과 위임 학습지

What is the normal baseline fetal heart rate?

1. A40–60/min
2. B60–100/min
3. C160–220/min
4. D110–160/min

In the FAST stroke check, what does the T stand for?

1. ATremor of the hands
2. BTime to call emergency services
3. CTemperature
4. DTongue movement

For a patient who does not take an anticoagulant, which INR is normal?

1. A6.0
2. B2.5
3. C1.0
4. D4.0

간호사가 훈련받은 조무사에게 혈당 측정을 위임하고는 결과를 한 번도 묻지 않습니다. 위임의 어느 권리가 빠졌나요?

1. A올바른 상황
2. B환경에 맞는 올바른 업무
3. C업무에 맞는 올바른 사람
4. D올바른 감독과 평가

Which action by a nursing assistant needs the nurse to step in?

1. ATaking an oral temperature just after the patient drank cold water
2. BLowering the bed to its lowest position and locking the wheels after care
3. CPutting the call light within the patient’s reach
4. DCleaning hands before entering the room

On the first day after abdominal surgery, a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. AGive a cough suppressant so that the incision is not strained
2. BRestrict oral fluids so that the lungs do not fill up with extra fluid
3. CKeep the patient lying flat in bed to rest the incision fully
4. DEncourage deep breathing, coughing and use of the incentive spirometer

A child who had a tonsillectomy this morning is swallowing again and again while asleep. What should the nurse suspect?

1. ABleeding from the operation site
2. BNormal swallowing during sleep
3. CA sore throat from the breathing tube
4. DHunger after fasting for surgery

A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?

1. AGive an oral analgesic and reassess the patient in about one hour
2. BPalpate the mass firmly to check its size and spread
3. CCall for emergency help at once and prepare for urgent surgery
4. DEncourage the patient to walk to ease the back pain