정답이 있는 우선순위 설정과 위임 학습지

무면허 보조 인력에게 위임할 수 있는 업무는 무엇인가요?

1. A욕창 사정
2. B어떤 소견에 대해 의료인에게 연락할지 결정하기
3. C환자의 소변량 측정 및 기록
4. D환자에게 저나트륨 식이 교육하기

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

1. ANeeding pain relief after surgery
2. BWanting family members to visit
3. CNeeding the call light within reach
4. DWanting praise for progress in rehabilitation

What does NPO mean on a patient’s care plan?

1. ANormal patient observations
2. BNo pain observed
3. CNot for physical therapy
4. DNothing by mouth

A patient taking warfarin has an INR of 5.2 and no signs of bleeding. What should the nurse do?

1. AGive a double dose to correct the result
2. BGive the usual dose and recheck the INR next month
3. CEncourage the patient to take aspirin for pain
4. DHold the warfarin dose and inform the provider

START 트리아지에서 걷지 못하는 성인이 분당 22회 호흡하고 요골 맥박이 있으며 간단한 명령을 따르지만 다리 골절이 뚜렷합니다. 이 피해자는 어느 범주로 분류되나요?

1. A노랑(지연)
2. B빨강(즉시)
3. C초록(경증)
4. D검정(기대 불가)

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. AApply wrist restraints for the rest of the night
2. BCheck for pain, thirst or a full bladder, and offer toileting
3. CRaise all four bed rails so the patient cannot climb out
4. DGive a sedative from the as-needed list without first assessing the patient

A visitor on the ward becomes threatening and shows a knife. What is the nurse’s priority?

1. AIgnore the visitor and carry on with patient care
2. BMove away to safety, keep others away and call security or the police
3. CTry to take the knife away from the visitor straight away before anyone is hurt
4. DArgue with the visitor to persuade them to leave

A patient admitted with suspected appendicitis says the pain suddenly got better, but now the abdomen is rigid and the heart rate is rising. What does this suggest?

1. AThe pain has moved to a different, harmless place
2. BThe appendicitis is getting better without surgery
3. CThe patient’s analgesic has finally started to work
4. DThe appendix may have ruptured, causing peritonitis