정답이 있는 우선순위 설정과 위임 학습지

In a patient with sepsis, what does a raised blood lactate level suggest?

1. AThe patient has eaten recently
2. BThe kidneys are working harder than usual
3. CThe liver is making too much bile
4. DThe tissues are not getting enough oxygen

When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?

1. AHow long the patient has been in the hospital since admission
2. BHow many visitors the patient is expected to have
3. CHow ill the patient is and how much nursing care they need
4. DHow far the patient’s room is from the nurses’ station

What does a “STAT” order mean?

1. ACarry it out within the next 24 hours
2. BCarry it out only if the patient asks for it
3. CCarry it out immediately
4. DCarry it out at the next routine round

A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?

1. A“I will tell my dentist and other doctors that I take a steroid.”
2. B“I will stop the tablets as soon as I feel better.”
3. C“I will take the tablets with food.”
4. D“I will report signs of infection early.”

간호사가 안전하게 마지막에 만나도 되는 환자는 누구인가요?

1. A1 L/min 산소를 쓰며 SpO₂가 90%(목표 88~92%)이고 완전한 문장으로 말하는 COPD 환자
2. B새로운 수포음과 분홍색 거품 가래가 있는 환자
3. C수술 2시간 후 심박수가 88에서 분당 118회로 오르고 있는 환자
4. D갑작스러운 심한 두통이 있는 환자

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. AA high-carbohydrate meal
2. BSubcutaneous long-acting insulin only, given once
3. COral potassium tablets
4. DIV isotonic fluid such as 0.9% sodium chloride

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

1. AIndigestion that is best treated with an antacid and a glass of milk
2. BA possible myocardial infarction that needs urgent action
3. CStable angina that will pass without treatment
4. DMuscle strain that needs a warm compress

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

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