정답이 있는 우선순위 설정과 위임 학습지

무료 인쇄용 우선순위 설정과 위임 학습지: 쉬운 문제부터 시험 수준까지 8문제, 정답표 포함. 인쇄하거나 PDF로 저장하세요.

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1.쉬움

Which maneuver opens the airway of an unresponsive adult with no suspected spinal injury?

  1. ARaising the legs above the heart
  2. BJaw thrust without head tilt
  3. CTurning the head sharply to one side
  4. DHead-tilt, chin-lift
2.쉬움

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

  1. A0.5–1.0
  2. B4.0–5.0
  3. C6.0–7.0
  4. D2.0–3.0
3.쉬움

After chemotherapy, a patient has a very low neutrophil count. Which risk is the nursing priority?

  1. ADehydration
  2. BBleeding
  3. CInfection
  4. DHypertension
4.보통

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

  1. AIncreasing sleepiness that is hard to rouse
  2. BIncreased appetite and thirst
  3. CA sudden rise in pain scores
  4. DA rise in blood pressure with flushed cheeks
5.보통

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

  1. ARaise the legs above the heart
  2. BTurn the patient onto their side
  3. CGive a drink of water
  4. DGive an oral anti-sickness tablet
6.보통

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 sit or lie down when I take a tablet.”
  3. C“If the pain has not eased as my action plan says, I will call emergency services.”
  4. D“I will carry the tablets with me when I go out.”
7.어려움

During an infusion of a thrombolytic drug for stroke, the patient develops a severe headache and starts vomiting. What should the nurse do first?

  1. AStop the infusion and inform the provider at once
  2. BGive a dose of aspirin for the headache
  3. CSlow the infusion and give an antiemetic as prescribed
  4. DContinue the infusion, because headache is expected
8.어려움

Which finding after a laparoscopic cholecystectomy is expected and needs only reassurance and comfort measures?

  1. AYellow skin with dark urine on the second day
  2. BIncreasing abdominal pain with a temperature of 39 °C
  3. CRight shoulder pain from the gas used during surgery
  4. DA heart rate of 125/min with a falling blood pressure

정답표

  1. 1. D · Head-tilt, chin-lift
  2. 2. D · 2.0–3.0
  3. 3. C · Infection
  4. 4. A · Increasing sleepiness that is hard to rouse
  5. 5. B · Turn the patient onto their side
  6. 6. A · “I will take five tablets one after the other before I call for help.”
  7. 7. A · Stop the infusion and inform the provider at once
  8. 8. C · Right shoulder pain from the gas used during surgery

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