정답이 있는 우선순위 설정과 위임 학습지

When is the Apgar score usually assessed?

1. AAt 1 and 5 minutes after birth
2. BOnly at 24 hours after birth
3. CBefore the baby is born
4. DAt the first postnatal clinic visit

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

1. ANo pain observed
2. BNot for physical therapy
3. CNormal patient observations
4. DNothing by mouth

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. AFluid overload
2. BInfection
3. CBlood clots
4. DBleeding

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

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

다수 사상자 현장의 START 트리아지에서 피해자가 요청받자 지정된 구역으로 걸어갈 수 있습니다. 이 피해자는 어느 범주로 분류되나요?

1. A초록(경증)
2. B빨강(즉시)
3. C검정(기대 불가)
4. D노랑(지연)

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AStop the infusion and remove the cannula
2. BIncrease the infusion rate to overcome the resistance
3. CFlush the cannula hard to clear the blockage
4. DApply a tight bandage over the site to reduce swelling

지속적 경관 영양 중에 환자가 갑자기 기침하고 숨이 차며 SpO₂가 떨어집니다. 간호사의 첫 번째 행동은 무엇인가요?

1. A빨리 끝나도록 영양 속도를 높인다
2. B관을 물 50 mL로 세척한 뒤 영양을 이전처럼 계속한다
3. C영양을 중단하고 환자를 똑바로 앉히며 호흡을 사정한다
4. D쉬도록 환자를 평평하게 눕힌다

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. AAn allergic reaction to the cast
2. BFat embolism syndrome
3. CAlcohol withdrawal
4. DNormal pain after a fracture