정답이 있는 우선순위 설정과 위임 학습지

매슬로의 위계에서 생리적 욕구 바로 다음 단계는 무엇인가요?

1. A사랑과 소속
2. B존중과 인정
3. C안전과 안정
4. D자아실현

Which patient usually fits ESI level 5?

1. AA stable adult who needs blood tests and an X-ray of the chest
2. BAn adult in cardiac arrest
3. CA stable adult who only needs a repeat prescription
4. DAn adult with chest pain suggesting a heart attack

Why may a full-thickness burn feel painless at its center?

1. AThe patient has been given too much fluid
2. BThe nerve endings in the skin have been destroyed
3. CThe burn has already fully healed
4. DThe burn only affects the thin surface layer of the skin

항생제 정맥 주입 중 환자에게 두드러기, 천명, 쉰 목소리가 생깁니다. 간호사가 가장 먼저 해야 할 일은 무엇인가요?

1. A주입을 중단한다
2. B차트에 반응을 기록한다
3. C주입 속도를 절반으로 줄인다
4. D경구 디펜히드라민을 준다

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient with an infected, draining leg wound
2. BA patient after a knee replacement with no signs of infection
3. CA patient with C. difficile diarrhea
4. DA patient with influenza

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. AMeasure blood pressure on the left arm only, every 4 hours
2. BHelp the patient carry shopping bags on the left arm
3. CDo not measure blood pressure on the left arm
4. DKeep the left arm wrapped tightly in a bandage at night

A patient with major depression has been withdrawn for weeks but is suddenly calm and cheerful and gives away her belongings. What should the nurse suspect?

1. AThat she is getting ready for discharge as planned
2. BA side effect of her antidepressant medicine that needs no special action
3. CA raised risk of suicide, because she may have made a decision
4. DA full recovery, so observation can be reduced

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. AIgnore it, because older people bruise easily
2. BAsk the relative directly in front of the patient whether they hit her
3. CTell the patient she must leave home and go to live somewhere else
4. DEnsure the patient’s safety, document the findings and report as required