정답이 있는 우선순위 설정과 위임 학습지

Which protective equipment is needed for droplet precautions?

1. AA surgical mask when close to the patient
2. BA fitted N95 respirator at all times in the room
3. CA lead apron and goggles
4. DGloves only, with no mask

A patient has a Glasgow Coma Scale score of 8. What is the main concern?

1. AThe patient may not be able to protect the airway
2. BThe patient is fully alert and oriented
3. CThe patient can safely eat and drink without help
4. DThe patient only has a mild headache

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 far the patient’s room is from the nurses’ station
4. DHow ill the patient is and how much nursing care they need

Which patient with diabetes should the nurse see first?

1. AGlucose 48 mg/dL (2.7 mmol/L), sweating and confused
2. BHbA1c result of 8.2%, asking about diet
3. CGlucose 210 mg/dL (11.7 mmol/L) after a large lunch, feels well
4. DNeeds foot care teaching before discharge tomorrow

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. ALock the door so the patient cannot leave the unit
2. BLet the patient leave without telling anyone
3. CHide the patient’s clothes and belongings until the provider arrives
4. DInform the provider, explain the risks and document the discussion

간호조무사에게 하는 지시 중 가장 명확한 것은 무엇인가요?

1. A“오전 중에 이 씨를 좀 지켜보다가 어떤지 알려 주세요.”
2. B“10시에 이 씨의 혈압을 재고 수축기 혈압이 100 미만이면 즉시 알려 주세요.”
3. C“이 씨 병실에 있는 동안 뭔가 이상하면 알려 주세요.”
4. D“점심 전에 언제든 이 씨의 활력징후를 재서 차트에 적어 주세요.”

An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?

1. ALet the LPN/LVN continue, since crushing makes the tablet easier to swallow
2. BStop the LPN/LVN and contact the prescriber or pharmacist about another form
3. CTell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime
4. DReport the LPN/LVN at the end of the month without saying anything now

A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?

1. AKeep the legs raised above the heart as much as possible
2. BWrap the legs tightly with compression bandages
3. CSit with the legs crossed to improve blood flow
4. DKeep the legs level or slightly lowered, not raised