정답이 있는 우선순위 설정과 위임 학습지

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A9%
2. B1%
3. C36%
4. D18%

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe kidneys are working harder than usual
2. BThe patient has eaten recently
3. CThe liver is making too much bile
4. DThe tissues are not getting enough oxygen

일반적으로 우선순위가 가장 높은 환자 문제는 무엇인가요?

1. A급성 통증
2. B기도 폐쇄
3. C불안
4. D약물에 대한 지식 부족

Which postoperative patient should the nurse see first?

1. AAsking when the urinary catheter will be removed
2. BPain of 4/10 one hour after an oral analgesic
3. CWants help with washing her hair before her visitors arrive this afternoon
4. DDressing soaked with bright red blood and a heart rate rising to 118/min

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. ANormal aging that needs no action
2. BLong-standing dementia that is expected
3. CDelirium, which needs the cause found quickly
4. DA personality change that is permanent and expected

LPN/LVN에게 배정하기 가장 적절한 환자는 누구인가요?

1. A회복실에서 도착하여 초기 사정이 필요한 환자
2. B30분 전 새로운 흉통으로 입원한 환자
3. C경구 약물이 필요한 안정된 만성 심부전 환자
4. D적혈구 첫 단위를 수혈받으려는 환자

At 08:00 a nurse has four tasks. Which order is best?

1. AGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
2. BGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast
3. CUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂
4. DCheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans

Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?

1. APhysical restraint until the spasm passes
2. BA higher dose of haloperidol to calm the patient and stop the movements quickly
3. CNo action, because the spasm is a sign of improvement
4. DAn anticholinergic drug, such as benztropine or procyclidine, as prescribed