정답이 있는 우선순위 설정과 위임 학습지

Which type of stroke is the most common?

1. AIschemic stroke
2. BSubarachnoid hemorrhage
3. CVenous sinus thrombosis
4. DHemorrhagic stroke

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. ARespiratory rate of 22/min or more
2. BHeart rate below 60/min
3. CTemperature below 36.5 °C on one reading
4. DBlood glucose above 100 mg/dL

안정된 환자에 대해 실무간호사(LPN/LVN)의 업무 범위에 일반적으로 속하는 활동은 무엇인가요?

1. A응급실 신규 도착 환자의 선별(트리아지)
2. B초기 입원 사정
3. C예정된 경구 약물 투여
4. D간호 계획 작성

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AIgnore it and hope they sort it out
2. BChange both of their assignments without any discussion
3. CReport them to human resources at once
4. DMeet both of them privately to hear each side

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Turn the pump off and on again until it stops.”
2. B“Increase the rate a little so the alarm clears.”
3. C“I will come and check the pump and the IV site now.”
4. D“Silence the alarm and I will check it at the end of the shift.”

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 1 after bowel surgery, new chest pain and heart rate 110/min
2. BDay 4 after bowel surgery, waiting for discharge teaching
3. CDay 2 after bowel surgery, asking to start a soft diet
4. DDay 3 after bowel surgery, wants a shower and hair wash before breakfast

Four laboratory results come back at once. Which one should the nurse report first?

1. AGlucose 180 mg/dL after a meal in a patient with diabetes
2. BHemoglobin 6.5 g/dL (65 g/L) in a patient with a GI bleed
3. CCreatinine 1.3 mg/dL in an older adult, unchanged from last week
4. DPotassium 3.4 mEq/L in a patient on a diuretic

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

1. AThe patient is level 5 because the pain is not severe
2. BVital signs never change the ESI level
3. CThe nurse should consider level 2 because of the danger-zone vital sign
4. DThe patient is level 4 because the blood tests and the scan count as one resource