정답이 있는 우선순위 설정과 위임 학습지

사정, 간호 판단 또는 평가가 필요한 업무는 어떻게 해야 하나요?

1. A환자의 가족에게 맡긴다
2. B가장 경험 많은 간호조무사에게 위임한다
3. C항상 LPN/LVN에게 위임한다
4. D간호사(RN)가 한다

When is a patient most ready to learn about self-care?

1. AWhen pain is controlled and basic physical needs are met
2. BStraight after hearing bad news about a serious new diagnosis
3. CWhile in severe pain, so the lesson feels important
4. DDuring a period of acute breathlessness

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

1. AGiving an IV push medication
2. BMeasuring vital signs
3. CGiving scheduled oral medications
4. DReinforcing teaching already given

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. ARaise the head of the bed, give oxygen and call for urgent help
2. BMassage the patient’s calves to ease any muscle cramp
3. CEncourage the patient to walk to improve the circulation
4. DGive the next dose of oral analgesia and reassess the patient in an hour

A patient speaks little English, and the nurse needs to explain a new procedure. What is the best way to communicate?

1. AUse a professional medical interpreter
2. BUse hand gestures and hope the patient understands
3. CAsk the patient’s 10-year-old child to translate
4. DSpeak loudly and slowly in English

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“I will take five tablets one after the other before I call for help.”
2. B“I will carry the tablets with me when I go out.”
3. C“I will sit or lie down when I take a tablet.”
4. D“If the pain has not eased as my action plan says, I will call emergency services.”

During a power cut, which patient is the nurse’s first priority?

1. AA patient whose call light is not working
2. BA patient watching television when it switched off
3. CA patient whose bed will not raise electrically
4. DA patient who depends on a ventilator

A patient is bleeding internally after a fall. Which finding is usually an early sign of hypovolemic shock?

1. ALoss of consciousness with gasping breaths
2. BA slow heart rate with warm, dry, flushed skin and a normal blood pressure throughout
3. CA very low blood pressure with fixed, dilated pupils
4. DRestlessness and a rising heart rate while the blood pressure is still normal