정답이 있는 우선순위 설정과 위임 학습지

Which term describes a patient who is unable to understand and decide about their own care?

1. AFully competent
2. BExercising autonomy
3. CLacking decision-making capacity
4. DProviding valid informed consent

What does a root cause analysis look for after a serious event?

1. AHow much the event cost the hospital
2. BWhich patient made the complaint
3. CThe underlying system causes of the event
4. DThe single staff member who should be blamed

Which arterial blood pH is within the normal range?

1. A7.52
2. B7.18
3. C7.28
4. D7.40

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient with C. difficile diarrhea
2. BA patient with an infected, draining leg wound
3. CA patient with influenza
4. DA patient after a knee replacement with no signs of infection

Five days after starting heparin, a patient’s platelet count has fallen by more than half. What should the nurse suspect?

1. AVitamin K deficiency
2. BIron deficiency anemia
3. CHeparin-induced thrombocytopenia
4. DAn expected effect that needs no action

A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?

1. AKeep the left arm wrapped tightly in a bandage at night
2. BDo not measure blood pressure on the left arm
3. CMeasure blood pressure on the left arm only, every 4 hours
4. DHelp the patient carry shopping bags on the left arm

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

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

During JumpSTART triage, a child is not breathing after the airway is opened but has a palpable pulse. What is the next step?

1. ATag the child black at once and move on to the next victim
2. BGive five rescue breaths; if breathing starts, tag the child red
3. CStart full CPR on the child and stay with them until more help arrives
4. DTag the child green and return to them after the others