정답이 있는 우선순위 설정과 위임 학습지

What is the range of possible scores on the Glasgow Coma Scale?

1. A1 to 20
2. B0 to 10
3. C0 to 15
4. D3 to 15

Which type of stroke is the most common?

1. AIschemic stroke
2. BHemorrhagic stroke
3. CVenous sinus thrombosis
4. DSubarachnoid hemorrhage

매슬로의 욕구 위계를 적용할 때 간호사가 보통 가장 먼저 다루는 환자 문제는 무엇인가요?

1. A낮은 자존감
2. B가스 교환 장애
3. C야간 낙상 위험
4. D사회적 고립

A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?

1. AAssess the location, character and onset of the pain and the vital signs
2. BGive the strongest analgesic on the chart straight away
3. CAsk the nursing assistant to reposition the patient
4. DTell the patient to wait until the next scheduled dose is due in two hours

예상 밖이며 신속한 추적 관찰이 필요한 소견은 무엇인가요?

1. A오래된 COPD 환자의 흉곽이 통 모양이다
2. B복강경 담낭 수술 1일 후 환자가 오른쪽 어깨 통증을 호소한다
3. C알려진 간경변 환자의 노란 피부색이 변하지 않았다
4. D헤파린을 주입 중인 환자에게 새로운 검고 타르 같은 대변이 나온다

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ALong-standing back pain, asking for the usual analgesic
2. BCrohn disease, waiting to be taken down for a scheduled CT scan
3. CUlcerative colitis, asking about diet changes for home
4. DTwo hours after a colonoscopy: rigid abdomen and severe new pain

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

1. AMeasuring the blood pressure and pulse
2. BMonitoring the fetal heart rate
3. CA vaginal examination
4. DWeighing the pads to estimate blood loss

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

1. AMuscle strength in the feet and ankles at the start of each morning
2. BThe patient’s mood and coping
3. CBreathing strength, such as vital capacity and the ability to cough
4. DSkin condition over the heels