정답이 있는 우선순위 설정과 위임 학습지

An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?

1. AA 12-lead ECG
2. BAn exercise stress test
3. CA chest CT scan
4. DA lipid profile

Which strategy helps a nurse organize care at the start of a shift?

1. ADo the quickest tasks first so the list gets shorter
2. BRank the tasks by urgency after report and plan the time around them
3. CWait until problems come up and then decide what to do
4. DDo the tasks in strict order of room number, whatever their urgency

What does a “PRN” medication order mean?

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

병동에서 심정지가 발생했습니다. 환자가 반응이 없고 정상적으로 숨을 쉬지 않는 것을 확인한 뒤 가장 먼저 할 행동은 무엇인가요?

1. A혈압을 잰다
2. B인공호흡 두 번을 하고 1분 동안 맥박을 확인한다
3. C도움을 요청하기 전에 환자 차트에서 소생술 여부를 확인한다
4. D도움을 요청하고 가슴 압박을 시작한다

간호사가 안전하게 마지막에 만나도 되는 환자는 누구인가요?

1. A1 L/min 산소를 쓰며 SpO₂가 90%(목표 88~92%)이고 완전한 문장으로 말하는 COPD 환자
2. B갑작스러운 심한 두통이 있는 환자
3. C새로운 수포음과 분홍색 거품 가래가 있는 환자
4. D수술 2시간 후 심박수가 88에서 분당 118회로 오르고 있는 환자

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. AEncourage extra fluids to correct the weight change
2. BRecord the weight on the chart and recheck it at the next weekly weigh-in
3. CLay the patient flat to help them breathe more easily
4. DAssess the lungs, oxygen saturation and swelling, then inform the provider

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. AStay and tell the charge nurse, and hand over before leaving
2. BAsk a nursing assistant to watch the patients until someone comes
3. CLeave on time, because the shift has officially ended
4. DLeave a written note at the station and go home

On a cardiac step-down unit, which patient should the nurse assess first?

1. ASix hours after a coronary stent, new chest pain with ST elevation on the monitor
2. BHeart failure, weight up 0.5 kg since yesterday, no breathlessness at rest
3. CAtrial fibrillation on warfarin with an INR of 2.6 this morning
4. DDay 2 after a pacemaker insertion, asking when the wound dressing will be changed