정답이 있는 우선순위 설정과 위임 학습지

Which finding meets the usual definition of orthostatic hypotension?

1. ASystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
2. BSystolic pressure falls by 20 mmHg or more within 3 minutes of standing
3. CBlood pressure is the same lying and standing
4. DHeart rate falls by 5/min after lying down

In delegation, what does the “right task” mean?

1. AThe task can be finished in under ten minutes
2. BThe task has been requested by the patient or the patient’s family
3. CThe task is one that may be delegated for this patient
4. DThe task is the one the nurse likes least

After caring for a patient with Clostridioides difficile diarrhea, how should the nurse clean their hands?

1. AUse alcohol hand rub only
2. BWipe hands on a clean towel
3. CNo hand hygiene is needed if gloves were worn
4. DWash with soap and water

낙상 예방 주의가 필요한 환자에 대해 간호사가 간호조무사에게 위임해야 할 업무는 무엇인가요?

1. A가족에게 집에서 낙상을 예방하는 방법을 가르치기
2. B침대 알람이 아직 필요한지 결정하기
3. C매일 아침 환자의 낙상 위험 점수를 사정하고 기록하기
4. D계획대로 2시간마다 환자의 화장실 이용을 돕기

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AIncreasing sleepiness that is hard to rouse
2. BIncreased appetite and thirst
3. CA sudden rise in pain scores
4. DA rise in blood pressure with flushed cheeks

On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?

1. AA new admission transferred from the labor ward with a fever of 38.6 °C
2. BSevere pre-eclampsia on a magnesium sulfate infusion
3. COne hour after birth with heavy bleeding and a boggy uterus
4. DDay 1 after an uncomplicated vaginal birth, stable vital signs

A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?

1. AOffer high-calorie finger foods and drinks the patient can take while moving
2. BInsist that the patient sits at the table until the meal is finished
3. CWait until the mania settles before worrying about nutrition
4. DLeave meals in the room and let the patient eat whenever and whatever they choose

A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?

1. AThe open fracture of the leg
2. BThe pain from the fracture
3. CThe risk of wound infection
4. DThe suspected tension pneumothorax