1.쉬움
Which strategy helps a nurse organize care at the start of a shift?
- AWait until problems come up and then decide what to do
- BRank the tasks by urgency after report and plan the time around them
- CDo the tasks in strict order of room number, whatever their urgency
- DDo the quickest tasks first so the list gets shorter
2.쉬움
Which laboratory finding is expected in a patient with chronic kidney disease who receives dialysis?
- AA low serum creatinine
- BA serum sodium of 160 mEq/L
- CA raised serum creatinine
- DA platelet count of 900,000/mm³
3.쉬움
Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?
- APull the fire alarm
- BRescue patients in immediate danger
- CUse an extinguisher on the fire
- DClose doors to contain the fire and smoke
4.보통
Which infant with gastroenteritis should the nurse see first?
- ALethargic, sunken fontanel, no wet diaper for 8 hours
- BAlert, crying with tears, had a wet diaper an hour ago
- CTwo loose stools today, feeding well
- DMild diaper rash, otherwise playful
5.보통
휴게실에서 식사하던 성인 환자가 갑자기 목을 움켜쥐고 말도, 숨도, 기침도 하지 못합니다. 간호사가 가장 먼저 해야 할 일은 무엇인가요?
- A눈에 보이지 않는 입속을 손가락으로 쓸어낸다
- B환자가 기침으로 뱉는지 지켜본다
- C도움을 요청하고 등 두드리기와 복부 밀어내기를 한다
- D음식을 넘기도록 물을 한 잔 준다
6.보통
An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?
- ADiphenhydramine
- BA warm milky drink
- CMelatonin
- DAcetaminophen (paracetamol)
7.어려움
An infant is choking and cannot cry or breathe. Which technique is correct?
- AHolding the infant upside down by the feet
- BAbdominal thrusts, as in adults
- CBack blows and chest thrusts
- DA blind finger sweep of the mouth
8.어려움
A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?
- AAssessing a patient who returned from surgery 30 minutes ago
- BMeasuring the vital signs and weights of every patient on the unit before breakfast
- CGiving a scheduled subcutaneous anticoagulant injection to a stable patient
- DWriting the discharge teaching plan for a patient with new diabetes
정답표
- 1. B · Rank the tasks by urgency after report and plan the time around them
- 2. C · A raised serum creatinine
- 3. B · Rescue patients in immediate danger
- 4. A · Lethargic, sunken fontanel, no wet diaper for 8 hours
- 5. C · 도움을 요청하고 등 두드리기와 복부 밀어내기를 한다
- 6. A · Diphenhydramine
- 7. C · Back blows and chest thrusts
- 8. C · Giving a scheduled subcutaneous anticoagulant injection to a stable patient
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