정답이 있는 우선순위 설정과 위임 학습지

가장 안정적인 환자는 누구인가요?

1. A혈압이 132/80에서 90/56 mmHg로 떨어진 환자
2. B무릎 수술 2일 후 통증이 10점 만점에 3점이고 활력징후가 정상인 환자
3. C새로운 흉통이 있는 환자
4. D새롭게 혼란스러워진 환자

Using the PASS method for a fire extinguisher, what is the first step?

1. AAim at the base of the fire
2. BSweep from side to side
3. CPull the pin
4. DSqueeze the handle

우선순위 문제에서 사정과 조치가 모두 보기에 있고 응급 상황이 아닐 때, 보통 먼저 올바른 것은 무엇인가요?

1. A환자를 보기 전에 의료인에게 연락하기
2. B간호조무사에게 환자를 가서 확인해 보라고 하기
3. C차트에 우려 사항을 기록하기
4. D환자를 사정하여 정보를 더 수집하기

When making patient assignments, what should the charge nurse consider first?

1. ALetting staff choose the patients they prefer
2. BGiving each nurse patients in rooms next to each other
3. CMatching each patient’s needs to staff competence
4. DGiving the newest staff the most complex patients

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ARecheck the SpO₂ at the next routine set of observations in four hours
2. BReport it, because a different oxygen device is likely to be needed
3. CTurn the nasal cannula up to 15 L/min
4. DRemove the oxygen to see if the SpO₂ changes

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ARinse the hub with tap water and dry it
2. BBlow on the hub to remove any dust before connecting the syringe or line
3. CScrub the hub with an antiseptic such as chlorhexidine and let it dry
4. DTouch the hub to check it is clean

A patient taking an MAO inhibitor antidepressant is taught about diet. Which statement shows a need for further teaching?

1. A“I will check with the pharmacist before cold remedies.”
2. B“I can still eat aged cheese and cured salami.”
3. C“I will avoid tap beer and red wine.”
4. D“A sudden severe headache is a warning sign.”

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