정답이 있는 우선순위 설정과 위임 학습지

다음 중 위임의 다섯 가지 권리(five rights)에 속하는 것은 무엇인가요?

1. A올바른 감독과 평가
2. B올바른 투여 경로와 주사 부위
3. C올바른 시간과 빈도
4. D올바른 용량과 농도

대부분의 환경에서 응급실의 신규 도착 환자를 트리아지하는 사람은 누구인가요?

1. A간호조무사
2. B간호사(RN)
3. CRN의 관여 없는 LPN/LVN
4. D병동 사무원

In nursing management, what is an “assignment”?

1. AHanding legal accountability for a patient over to a nursing colleague
2. BGiving staff care activities that are within their own role and scope
3. CA written order from a prescriber for a treatment
4. DAsking a colleague to do a task outside their usual scope

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. ALower the bed now and remind the assistant why it matters
2. BLeave it because the patient is asleep
3. CWrite it in the assistant’s yearly review only
4. DAsk the family to lower the bed when they next visit

간호사가 동시에 호출벨 네 개를 받았습니다. 간호사는 어느 환자에게 가장 먼저 가나요?

1. A유지 수액 백이 끝나 정맥 주입 펌프가 울리는 환자
2. B통증이 4/10이라며 진통제를 요청하는 환자
3. C“숨을 쉴 수가 없어요”라고 말하는 환자
4. D의사가 몇 시에 오는지 묻는 환자

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“My husband can smoke in my room if the window is open.”
2. B“I will put up no-smoking signs at the front door and in my room.”
3. C“I will not use oil-based creams on my face.”
4. D“I will keep the oxygen away from the gas stove.”

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

1. ASkin condition over the heels
2. BThe patient’s mood and coping
3. CBreathing strength, such as vital capacity and the ability to cough
4. DMuscle strength in the feet and ankles at the start of each morning

On an addiction unit, which patient should the nurse assess first?

1. AAnxious, with goose bumps, stomach cramps and loose stools
2. BDrowsy with pinpoint pupils and a respiratory rate of 7/min
3. CYawning, with a runny nose and dilated pupils
4. DAsking for an extra blanket and a hot drink