정답이 있는 우선순위 설정과 위임 학습지

When a nurse receives a critical lab result by phone, what does “read-back” mean?

1. ARepeating the result back to the caller to confirm it
2. BWaiting for the written report before doing anything
3. CReading the result to the next shift at handover
4. DReading the result aloud to the patient straight away

In most settings, which task is kept for the RN rather than assigned to an LPN/LVN?

1. AMeasuring vital signs
2. BReinforcing teaching already given
3. CGiving an IV push medication
4. DGiving scheduled oral medications

A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?

1. AA large protein meal
2. BThe next dose of insulin
3. CIV glucose through a new cannula as the first choice for every patient
4. DA fast-acting carbohydrate by mouth, such as glucose tablets or juice

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Walk her to the end of the corridor and back twice before lunch.”
2. B“Try to finish the walk before the lunch trays arrive.”
3. C“Stop and call me at once if she feels dizzy or short of breath.”
4. D“Make sure she wears her own slippers if she has them.”

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

1. AKeep the head of the bed raised to at least 30 degrees
2. BLay the patient flat for an hour after each bag is hung
3. CTurn the feed off only while the patient is asleep at night
4. DIncrease the feed rate so the stomach empties sooner

A patient taking lithium has vomiting, diarrhea and a new coarse tremor. What should the nurse do?

1. AHold the next dose and report for an urgent lithium level
2. BGive the dose with food to reduce the stomach upset
3. CEncourage the patient to cut down on salt and fluids
4. DReassure the patient that a coarse tremor is expected at first

A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?

1. AThe burns are healing and the skin is tightening normally
2. BThe patient is anxious and only needs reassurance
3. CThe tight burned skin is restricting chest movement, so an escharotomy may be needed
4. DThe patient has had too little IV fluid and needs a fast bolus to improve the breathing

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

1. AMuscle strain that needs a warm compress
2. BA possible myocardial infarction that needs urgent action
3. CIndigestion that is best treated with an antacid and a glass of milk
4. DStable angina that will pass without treatment