정답이 있는 우선순위 설정과 위임 학습지

What does the Braden Scale measure?

1. AThe severity of alcohol withdrawal symptoms
2. BThe level of consciousness after a head injury
3. CThe risk of falling during a hospital stay
4. DThe risk of developing a pressure injury

Which strategy helps a nurse organize care at the start of a shift?

1. AWait until problems come up and then decide what to do
2. BDo the tasks in strict order of room number, whatever their urgency
3. CDo the quickest tasks first so the list gets shorter
4. DRank the tasks by urgency after report and plan the time around them

우선순위 설정에서 “예상되는” 소견이란 무엇인가요?

1. A항상 성인의 정상 기준 범위 안에 있는 소견
2. B환자의 알려진 상태나 치료와 일치하는 소견
3. C환자나 가족이 예측한 소견
4. D항상 신속대응팀에 즉시 연락해야 하는 소견

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. AStop the transfusion and keep the IV open with normal saline via new tubing
2. BSlow the transfusion and recheck in an hour
3. CFinish the unit quickly through a pressure bag so that the reaction does not last long
4. DGive an antipyretic and continue the transfusion

Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?

1. AGive a dose of oxytocin straight away
2. BAsk the patient to lie still for another hour
3. CHelp the patient empty her bladder
4. DMassage the uterus firmly for ten minutes

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. AEncourage the patient to breathe even faster
2. BStay with the patient and coach slow, calm breathing
3. CGive oxygen at the highest flow and leave the room
4. DGive IV sodium bicarbonate as soon as it can be found

A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?

1. AStandard precautions only
2. BDroplet precautions
3. CAirborne precautions
4. DContact precautions only

새로 기관절개술을 받은 환자가 기침을 하고 시끄럽게 숨을 쉬며 SpO₂가 86%로 떨어졌습니다. 첫 번째 행동은 무엇인가요?

1. A분무 기관지확장제를 준다
2. B기관절개관을 흡인한다
3. C기관절개 고정끈을 교체한다
4. DSpO₂를 기록하고 30분 뒤에 다시 확인한다