정답이 있는 우선순위 설정과 위임 학습지

Which statement about the nursing process is correct when setting priorities?

1. AAssessment comes first, because the other steps depend on it
2. BImplementation comes first, so care starts quickly
3. CPlanning comes first, before seeing the patient
4. DEvaluation comes first, before any patient data have been collected

Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?

1. ATurning and repositioning the patient every 2 hours
2. BPlanning the patient’s skin care
3. CChoosing which wound dressing to use
4. DDeciding whether a pressure injury has got worse since yesterday

What is the usual adult reference range for serum potassium?

1. AAbout 6.0–8.0 mEq/L
2. BAbout 1.5–2.5 mEq/L
3. CAbout 135–145 mEq/L
4. DAbout 3.5–5.0 mEq/L

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AEncourage deep breaths into a paper bag until it passes
2. BReassure the patient that this is normal after neck surgery
3. CGive the patient’s routine oral iron supplement early
4. DCheck for signs of low calcium and inform the provider

Using the Emergency Severity Index, which level fits a 70-year-old with chest pressure that suggests a heart attack, but normal vital signs?

1. ALevel 1
2. BLevel 5
3. CLevel 4
4. DLevel 2

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. AVitamin K to the mother
2. BRh immunoglobulin within 72 hours
3. CA dose of the hepatitis B vaccine instead
4. DNo treatment is needed

A patient arrives at the emergency department with a plan to end their life, but has normal vital signs. Which ESI level fits best?

1. ALevel 2
2. BLevel 1
3. CLevel 5
4. DLevel 4

A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?

1. AGiving a scheduled subcutaneous anticoagulant injection to a stable patient
2. BWriting the discharge teaching plan for a patient with new diabetes
3. CAssessing a patient who returned from surgery 30 minutes ago
4. DMeasuring the vital signs and weights of every patient on the unit before breakfast