정답이 있는 우선순위 설정과 위임 학습지

Which medication is the first-line treatment for anaphylaxis?

1. AIntramuscular epinephrine
2. BOral paracetamol (acetaminophen)
3. CAn inhaled corticosteroid
4. DAn oral antihistamine

What is the purpose of the “time-out” just before a surgical procedure?

1. ATo give the surgeon a short rest before the operation starts
2. BTo count the swabs at the end of the operation
3. CTo confirm the correct patient, procedure and site
4. DTo let the family say goodbye to the patient

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

1. ASqueeze the handle
2. BAim at the base of the fire
3. CSweep from side to side
4. DPull the pin

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2.2 mmol/L). What should the nurse do first?

1. AWait 15 minutes and recheck the glucose
2. BGive IV dextrose or glucagon as prescribed
3. CPour orange juice into the patient’s mouth
4. DGive the scheduled dose of insulin

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

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

On the first day after abdominal surgery, a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?

1. AKeep the patient lying flat in bed to rest the incision fully
2. BRestrict oral fluids so that the lungs do not fill up with extra fluid
3. CGive a cough suppressant so that the incision is not strained
4. DEncourage deep breathing, coughing and use of the incentive spirometer

After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?

1. AUterine atony that needs more massage
2. BA tear in the birth canal or cervix
3. CA full bladder pushing the uterus aside
4. DNormal lochia for the first hour

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. BAssessing a patient who returned from surgery 30 minutes ago
3. CWriting the discharge teaching plan for a patient with new diabetes
4. DMeasuring the vital signs and weights of every patient on the unit before breakfast