1.쉬움
What is the main purpose of an incident report?
- ATo inform the patient’s insurance company
- BTo replace the nurse’s notes in the patient’s record
- CTo decide which staff member should be punished
- DTo improve safety by finding out why events happen
2.쉬움
When a charge nurse makes patient assignments, what does a patient’s “acuity” mean?
- AHow far the patient’s room is from the nurses’ station
- BHow many visitors the patient is expected to have
- CHow long the patient has been in the hospital since admission
- DHow ill the patient is and how much nursing care they need
3.쉬움
Which triage method is designed for children in mass-casualty incidents?
- AThe Braden Scale
- BThe Glasgow Coma Scale
- CJumpSTART
- DThe APGAR score
4.보통
Before giving a scheduled dose of metoprolol, which assessment is most important?
- ATemperature and the latest pain score
- BBlood glucose and weight
- CBowel sounds and urine color
- DApical pulse and blood pressure
5.보통
After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?
- AA urinary tract infection
- BNormal pain after surgery
- CDislocation of the new hip
- DA pressure injury on the heel
6.보통
A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?
- A“I will keep the crutch tips in good condition.”
- B“I will remove loose rugs from the floor at home.”
- C“I will lean on the crutch pads under my arms to rest.”
- D“I will take my weight on my hands, not on my armpits.”
7.어려움
자원이 매우 제한된 재난에서 거의 온몸에 심한 화상을 입은 피해자가 검정으로 분류됩니다. 이 결정을 설명하는 원칙은 무엇인가요?
- A가장 어린 피해자를 먼저 치료하는 것
- B가장 많은 사람에게 가장 큰 이익을 주는 것
- C피해자를 도착한 순서대로 치료하는 것
- D가장 심하게 다친 사람을 먼저 치료하는 것
8.어려움
On a cardiac step-down unit, which patient should the nurse assess first?
- AHeart failure, weight up 0.5 kg since yesterday, no breathlessness at rest
- BDay 2 after a pacemaker insertion, asking when the wound dressing will be changed
- CSix hours after a coronary stent, new chest pain with ST elevation on the monitor
- DAtrial fibrillation on warfarin with an INR of 2.6 this morning
정답표
- 1. D · To improve safety by finding out why events happen
- 2. D · How ill the patient is and how much nursing care they need
- 3. C · JumpSTART
- 4. D · Apical pulse and blood pressure
- 5. C · Dislocation of the new hip
- 6. C · “I will lean on the crutch pads under my arms to rest.”
- 7. B · 가장 많은 사람에게 가장 큰 이익을 주는 것
- 8. C · Six hours after a coronary stent, new chest pain with ST elevation on the monitor
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