정답이 있는 우선순위 설정과 위임 학습지

Which three things does START triage check in a non-walking adult?

1. ARespirations, perfusion and mental status
2. BPulse, blood pressure and body temperature
3. CAirway, blood glucose and pupils
4. DPain score, mobility and age

간호에서 위임을 가장 잘 설명하는 진술은 무엇인가요?

1. A환자에 대한 모든 책임을 다른 사람에게 넘기는 것
2. B간호사가 너무 바빠 못 하는 업무를 의사에게 맡겨 달라고 요청하는 것
3. C자신의 역할 밖이라는 이유로 업무를 거부하는 것
4. D유능한 사람에게 선택된 업무에 대한 권한을 주되 간호사가 책임(accountability)을 유지하는 것

What is the purpose of the “time-out” just before a surgical procedure?

1. ATo count the swabs at the end of the operation
2. BTo give the surgeon a short rest before the operation starts
3. CTo let the family say goodbye to the patient
4. DTo confirm the correct patient, procedure and site

Which newborn finding needs prompt reporting?

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

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AAsk the patient to walk around the ward until the food arrives
2. BGive a second, smaller dose of insulin when the meal tray finally arrives
3. CGet the patient some carbohydrate food now and check the glucose
4. DTell the patient to wait and do nothing until the tray comes

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe patient’s body is in line with the traction
2. BThe weights are resting on the floor
3. CThe ropes are in the pulleys
4. DThe weights are hanging freely

팀에 RN, LPN/LVN, 간호조무사가 있습니다. 가장 적절한 배정은 무엇인가요?

1. A조무사: 경구 투약, LPN/LVN: 간호 계획, RN: 안정된 환자의 위생 간호
2. BLPN/LVN: 모든 초기 사정, RN: 정해진 투약, 조무사: 퇴원 교육
3. C조무사: 신규 입원, LPN/LVN: 위생 간호, RN: 안정된 환자의 일상 활력징후
4. DRN: 신규 입원, LPN/LVN: 안정된 환자의 투약, 조무사: 위생 간호

During an infusion of a thrombolytic drug for stroke, the patient develops a severe headache and starts vomiting. What should the nurse do first?

1. AGive a dose of aspirin for the headache
2. BContinue the infusion, because headache is expected
3. CStop the infusion and inform the provider at once
4. DSlow the infusion and give an antiemetic as prescribed