정답이 있는 우선순위 설정과 위임 학습지

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe FLACC scale
2. BThe Glasgow Coma Scale
3. CThe Braden Scale
4. DThe Morse Fall Scale

Which patient needs a single room with airborne precautions?

1. AA patient with a fractured femur
2. BA patient with suspected pulmonary tuberculosis
3. CA patient with a urinary tract infection and a catheter
4. DA patient with type 2 diabetes

Which strategy helps a nurse organize care at the start of a shift?

1. ADo the tasks in strict order of room number, whatever their urgency
2. BDo the quickest tasks first so the list gets shorter
3. CRank the tasks by urgency after report and plan the time around them
4. DWait until problems come up and then decide what to do

낙상 예방 주의가 필요한 환자에 대해 간호사가 간호조무사에게 위임해야 할 업무는 무엇인가요?

1. A침대 알람이 아직 필요한지 결정하기
2. B가족에게 집에서 낙상을 예방하는 방법을 가르치기
3. C계획대로 2시간마다 환자의 화장실 이용을 돕기
4. D매일 아침 환자의 낙상 위험 점수를 사정하고 기록하기

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. AWith the fingertips, pressing firmly to test it
2. BBy covering it tightly with a plastic sheet
3. CBy resting it directly on a hard surface
4. DWith the palms of the hands, not the fingertips

A patient arrives in the recovery room after general anesthesia. What does the nurse assess first?

1. AThe surgical dressing and the drains
2. BUrine output
3. CAirway patency and breathing
4. DThe pain score

A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?

1. ACheck that a swallow screen has been done before giving anything by mouth
2. BGive thickened fluids without checking the swallow
3. CGive the water through a straw so it goes down slowly
4. DAsk the family to help the patient drink while sitting upright in a chair at the bedside

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

1. ATeaching the patient about a low-sodium diet at home
2. BHelping the patient to walk in the corridor alone
3. CEncouraging the patient to drink plenty of water
4. DSeizure precautions and close neurological checks