정답이 있는 우선순위 설정과 위임 학습지

간호사(RN)가 무면허 보조 인력에게 위임하지 않고 직접 맡아야 하는 업무는 무엇인가요?

1. A새로 입원한 환자의 초기 사정
2. B안정된 환자가 화장실에 다녀오도록 걷는 것을 돕기
3. C섭취량과 배설량 측정 및 기록
4. D안정된 환자의 목욕

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

1. A35–45 mmHg
2. B7.35–7.45 mmHg
3. C80–100 mmHg
4. D22–26 mmHg

Which drug is used to reverse the effect of warfarin?

1. AProtamine sulfate
2. BVitamin K
3. CFlumazenil
4. DNaloxone

Which action by a nursing assistant needs the nurse to step in?

1. ACleaning hands before entering the room
2. BTaking an oral temperature just after the patient drank cold water
3. CLowering the bed to its lowest position and locking the wheels after care
4. DPutting the call light within the patient’s reach

환자가 간호조무사에게 새 약의 부작용에 대해 묻습니다. 조무사는 어떻게 해야 하나요?

1. A부작용은 드물다고 환자를 안심시킨다
2. B약의 환자용 설명서에 적힌 부작용을 설명한다
3. C인터넷에서 약을 찾아 나오는 내용을 읽어 준다
4. D간호사가 와서 답할 것이라고 말하고 간호사에게 알린다

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. AApply extra blankets to keep the patient warm and calm
2. BSit the patient upright with the legs lowered
3. CGive a warm drink and recheck the blood pressure in an hour
4. DLay the patient flat with the legs raised

A nurse returns to the station to find four messages. Which one is answered first?

1. AThe pharmacy asks when the next delivery should be scheduled
2. BThe laboratory is calling with a critical potassium result of 2.6 mEq/L
3. CA colleague asks to swap shifts with them next week because of a family wedding
4. DA family member wants an update on their father’s progress

During a power cut, which patient is the nurse’s first priority?

1. AA patient who depends on a ventilator
2. BA patient watching television when it switched off
3. CA patient whose call light is not working
4. DA patient whose bed will not raise electrically