정답이 있는 우선순위 설정과 위임 학습지

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

1. APlanning comes first, before seeing the patient
2. BAssessment comes first, because the other steps depend on it
3. CEvaluation comes first, before any patient data have been collected
4. DImplementation comes first, so care starts quickly

In mmHg, what is the normal range for arterial PaCO₂?

1. A22–26 mmHg
2. B7.35–7.45 mmHg
3. C80–100 mmHg
4. D35–45 mmHg

In nursing management, what is an “assignment”?

1. AAsking a colleague to do a task outside their usual scope
2. BHanding legal accountability for a patient over to a nursing colleague
3. CGiving staff care activities that are within their own role and scope
4. DA written order from a prescriber for a treatment

An older patient with dementia is restless at night and keeps trying to get out of bed. Which measure should the nurse try first?

1. ARaise all four bed rails so the patient cannot climb out
2. BApply wrist restraints for the rest of the night
3. CGive a sedative from the as-needed list without first assessing the patient
4. DCheck for pain, thirst or a full bladder, and offer toileting

Before giving a medication to a child, which check is especially important?

1. AThat the dose is correct for the child’s weight
2. BThat the child likes the taste of the drug
3. CThat the parent agrees with the time it is given
4. DThat the medicine cup is the child’s favorite color

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. AApical pulse and blood pressure
2. BBowel sounds and urine color
3. CTemperature and the latest pain score
4. DBlood glucose and weight

Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?

1. AA normal effect of the anesthetic
2. BDehydration from fasting before surgery
3. CUrinary retention
4. DAcute kidney injury with no urine made

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. ACheck two identifiers against the wristband and the medication record
2. BAsk a nursing assistant which patient is which
3. CAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
4. DUse the room number as the main identifier