정답이 있는 우선순위 설정과 위임 학습지

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

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

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

1. AWithin the normal adult range
2. BNormal after a meal
3. CSlow, and expected while the patient is asleep
4. DAbnormally fast and needing assessment

In the Emergency Severity Index (ESI), which patient fits level 2?

1. AA patient who needs an immediate life-saving intervention to survive
2. BA stable patient who needs one resource
3. CA high-risk situation, new confusion, or severe pain or distress
4. DA stable patient who needs no resources

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. AThe patient’s current condition, recent changes and pending tasks
2. BPersonal opinions about the patient’s family members and their visiting habits
3. CDetails of the nurse’s own break times that shift
4. DThe patient’s favorite television programs and hobbies

A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?

1. ATurn the patient onto her back and recheck later
2. BIncrease the infusion to prevent a seizure
3. CGive oral fluids to help clear the drug faster
4. DStop the magnesium infusion and call for help

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

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

A severely malnourished patient started nutrition two days ago and now has weakness and confusion. Which laboratory result should the nurse check first?

1. ASerum phosphate
2. BThyroid hormone
3. CSerum cholesterol
4. DSerum amylase

A patient on airborne precautions for suspected tuberculosis must go to the radiology department. What should the patient wear during transport?

1. AGloves and a gown only
2. BNothing, if the trip is short
3. CA surgical mask
4. DA fit-tested N95 respirator