정답이 있는 우선순위 설정과 위임 학습지

Using the PASS method for a fire extinguisher, what is the first step?

1. ASweep from side to side
2. BAim at the base of the fire
3. CSqueeze the handle
4. DPull the pin

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. APull the fire alarm
2. BRescue patients in immediate danger
3. CUse an extinguisher on the fire
4. DClose doors to contain the fire and smoke

When is the Apgar score usually assessed?

1. ABefore the baby is born
2. BAt 1 and 5 minutes after birth
3. COnly at 24 hours after birth
4. DAt the first postnatal clinic visit

보통 산과에서 일하는 간호사가 성인 내과 병동에 파견되었습니다. 이 간호사에게 배정하기 가장 적절한 환자는 누구인가요?

1. A새로 기관절개술을 받은 환자
2. B경구 항생제로 안정적인 폐렴 환자
3. C당뇨병성 케톤산증으로 인슐린을 지속 주입 중인 환자
4. D활동성 상부 위장관 출혈이 있는 환자

간호사가 간호조무사가 확실히 너무 작은 커프로 혈압을 재는 것을 봅니다. 간호사는 어떻게 해야 하나요?

1. A나중에 조무사의 연례 평가 때 이야기한다
2. B한 번의 높은 측정값은 중요하지 않으므로 무시한다
3. C지금 개입하여 기술을 예의 바르게 바로잡고 다시 잰다
4. D조무사를 그날 환자 돌봄에서 제외한다

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2.2 mmol/L). What should the nurse do first?

1. AWait 15 minutes and recheck the glucose
2. BPour orange juice into the patient’s mouth
3. CGive IV dextrose or glucagon as prescribed
4. DGive the scheduled dose of insulin

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3.0 mEq/L. What should the nurse do?

1. AStart the insulin at once, because the glucose is the bigger problem
2. BGive the insulin as a fast bolus to bring the potassium up
3. CReport the result before starting, because insulin will push potassium even lower
4. DIgnore the result, since potassium is always high in this condition and will correct itself

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

1. ASkin condition over the heels
2. BThe patient’s mood and coping
3. CMuscle strength in the feet and ankles at the start of each morning
4. DBreathing strength, such as vital capacity and the ability to cough