解答つき臨床看護学ワークシート

Which structure is the heart's natural pacemaker?

1. AThe left ventricle
2. BThe sinoatrial (SA) node
3. CThe aorta
4. DThe mitral valve in the left side of the heart

Stress urinary incontinence is leakage of urine:

1. AOnly when feeling anxious or upset
2. BOnly during sleep
3. CCaused by a blocked catheter
4. DWhen coughing, sneezing or lifting

急変した患者への ABCDE アプローチで、「A」は何を表しますか？

1. A気道（Airway）
2. B鎮痛（Analgesia）
3. Cアセスメント（Assessment）
4. Dアレルギー（Allergies）

For a patient in skin traction on the leg, which is correct?

1. AThe weights rest on the floor overnight
2. BThe weights hang freely and do not rest on the bed or floor
3. CThe rope is tied to the bed frame to keep it still
4. DThe weights are removed whenever the patient feels uncomfortable

A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?

1. ADriven by compressed air, with oxygen given separately if needed
2. BWithout monitoring oxygen saturation
3. COnly with the patient lying flat
4. DDriven by high-flow oxygen at 15 L/min for as long as possible

In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:

1. A5 × 10⁹/L
2. B150 × 10⁹/L
3. C0.5 × 10⁹/L
4. D15 × 10⁹/L

Four call bells ring at the same time. Which patient should the nurse see first?

1. AA patient asking for pain relief for chronic back pain that they rate as 3/10
2. BA patient who has just become breathless after starting an IV antibiotic
3. CA patient asking what time they will be discharged
4. DA patient who needs help to go to the toilet and has rung twice

高齢の患者が夜のうちに急に混乱し、注意力が変動しています。まず調べるべき原因は？

1. A感染や薬など、背景にある問題によるせん妄
2. B正常な加齢
3. Cアルツハイマー病の突然の発症
4. D周囲への関心の欠如