解答つき臨床看護学ワークシート

What is the recommended ratio of chest compressions to rescue breaths in adult CPR?

1. A10 compressions to 1 breath
2. B30 compressions to 2 breaths
3. C15 compressions to 2 breaths
4. D5 compressions to 1 breath

患者の尿量を観察しています。成人で目標としてよく使われる 1 時間あたりの最低尿量は？

1. A1 日に少しでも尿が出ていれば何 mL でもよい
2. B体重 1 kg あたり 1 時間に約 0.5 mL
3. C1 kg あたり 1 時間に約 0.05 mL
4. D1 kg あたり 1 時間に約 5 mL

重症 COPD の患者で、より低い酸素飽和度の目標（88～92%）がよく使われるのはなぜですか？

1. A酸素が胸の痛みを悪化させるから
2. B肺がまったく酸素を吸収できないから
3. C酸素は COPD のときだけ燃えやすいから
4. Dこうした患者の一部では、高流量の酸素が二酸化炭素の貯留を起こすことがあるから

When a patient returns to the ward from theatre, what should the nurse assess first?

1. AWhether visitors are waiting to see the patient
2. BAirway, breathing, circulation and level of consciousness
3. CThe discharge date
4. DThe patient's dietary preferences for the next meal

During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?

1. AStop the infusion straight away and follow the extravasation protocol
2. BIncrease the rate so that the infusion finishes as quickly as possible
3. CFlush the cannula hard with saline
4. DApply a warm pack and continue the infusion

After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?

1. ALying on their back
2. BBending the hip beyond 90 degrees or crossing the legs
3. CWalking short distances with a frame and a physiotherapist
4. DDoing gentle ankle exercises

A conscious patient with hypoglycaemia was given fast-acting carbohydrate. On re-check 15 minutes later the blood glucose is 3.6 mmol/L (65 mg/dL). What should the nurse do next?

1. AGive a long-acting carbohydrate snack only and recheck tomorrow
2. BGive a dose of subcutaneous insulin
3. CTake no action because the level is rising
4. DGive another dose of fast-acting carbohydrate and recheck

A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?

1. A"Please review him within the next 15 minutes."
2. B"He was admitted three days ago with pneumonia."
3. C"I am calling about Mr Smith, who is breathless."
4. D"His blood pressure is 85/50 and he is confused."