정답이 있는 우선순위 설정과 위임 학습지

A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?

1. AThe pharmacy technician on duty that day
2. BThe hospital’s chief executive
3. CThe patient’s next of kin
4. DThe charge nurse or nursing supervisor

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

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

Which task can the RN usually assign to an LPN/LVN?

1. AChanging the dressing on a stable, healing wound
2. BWriting the patient’s initial plan of care
3. CDoing the admission assessment of a new patient
4. DTriaging a new arrival in the emergency department

A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?

1. A“If I miss a dose, I will take two the next day.”
2. B“I will tell my dentist and pharmacist that I take warfarin.”
3. C“I will use a soft toothbrush.”
4. D“I will keep my INR blood test appointments.”

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. ALay the patient flat to help them breathe more easily
2. BRecord the weight on the chart and recheck it at the next weekly weigh-in
3. CEncourage extra fluids to correct the weight change
4. DAssess the lungs, oxygen saturation and swelling, then inform the provider

Which patient with diabetes should the nurse see first?

1. AGlucose 48 mg/dL (2.7 mmol/L), sweating and confused
2. BNeeds foot care teaching before discharge tomorrow
3. CHbA1c result of 8.2%, asking about diet
4. DGlucose 210 mg/dL (11.7 mmol/L) after a large lunch, feels well

An infant is choking and cannot cry or breathe. Which technique is correct?

1. AA blind finger sweep of the mouth
2. BAbdominal thrusts, as in adults
3. CBack blows and chest thrusts
4. DHolding the infant upside down by the feet

Four stable patients need routine morning care. To reduce the spread of infection, which patient should the nurse visit first?

1. AA patient with influenza on droplet precautions
2. BA patient with C. difficile diarrhea
3. CA patient with neutropenia after chemotherapy
4. DA patient with an MRSA wound infection