정답이 있는 우선순위 설정과 위임 학습지

Which finding in an infant is a sign of breathing difficulty?

1. APink, warm hands and feet
2. BNasal flaring
3. CWet diapers every few hours
4. DA strong cry

Which finding is one of the quick SOFA (qSOFA) criteria for possible sepsis?

1. AHeart rate below 60/min
2. BRespiratory rate of 22/min or more
3. CBlood glucose above 100 mg/dL
4. DTemperature below 36.5 °C on one reading

응급 중증도 지수(ESI)에서 1단계는 무엇을 뜻하나요?

1. A즉각적인 생명 구조 중재가 필요함
2. B두 가지 이상의 자원이 필요함
3. C신속 진료 구역에서 진료받을 만큼 안정적임
4. D가장 덜 긴급한 환자임

A patient has a serum potassium of 6.8 mEq/L. Which action comes first?

1. APlace the patient on a cardiac monitor
2. BGive the patient’s scheduled potassium supplement
3. CRecheck the level next week
4. DEncourage foods high in potassium

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7.51 and PaCO₂ 29 mmHg (3.9 kPa). What should the nurse do first?

1. AGive IV sodium bicarbonate as soon as it can be found
2. BGive oxygen at the highest flow and leave the room
3. CEncourage the patient to breathe even faster
4. DStay with the patient and coach slow, calm breathing

응급 중증도 지수(ESI)를 사용할 때 가장 높은 중증도 단계를 받는 환자는 누구인가요?

1. A활력징후가 정상인 흉통 환자
2. B의식이 없고 헐떡이는 불규칙한 호흡을 하는 환자
3. C발목 골절이 의심되는 환자
4. D3일간 인후통이 있고 활력징후가 정상인 환자

A patient admitted with suspected appendicitis says the pain suddenly got better, but now the abdomen is rigid and the heart rate is rising. What does this suggest?

1. AThe patient’s analgesic has finally started to work
2. BThe pain has moved to a different, harmless place
3. CThe appendix may have ruptured, causing peritonitis
4. DThe appendicitis is getting better without surgery

After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?

1. AThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift
2. BThe RN reassesses the patient’s learning needs and adjusts the teaching
3. CThe patient is discharged with a leaflet to read at home
4. DThe nursing assistant shows the patient again at lunch