解答つき臨床看護学ワークシート

グラスゴー・コーマ・スケール（GCS）は何を評価しますか？

1. A瞳孔の大きさと反応、血圧、脈拍
2. B反射、筋緊張、感覚
3. C痛み、吐き気、不安
4. D開眼、言語反応、運動反応

How does omeprazole work?

1. AIt speeds up the emptying of the stomach
2. BIt kills bacteria in the bowel
3. CIt neutralises acid already in the stomach
4. DIt reduces the production of stomach acid

臨床の申し送りで SBAR は何を表しますか？

1. A安全（Safety）、呼吸（Breathing）、覚醒度（Alertness）、リスク（Risk）
2. B状況（Situation）、背景（Background）、評価（Assessment）、提案（Recommendation）
3. C症状（Symptoms）、血圧（Blood pressure）、気道（Airway）、呼吸数（Respiratory rate）
4. D要約（Summary）、ベッドサイド（Bedside）、行動（Action）、見直し（Review）

MRSA の保菌者が入院しました。適切な予防策は？

1. A保菌であれば予防策は不要
2. B陰圧室で 6 か月間隔離する
3. C全スタッフが FFP3 レスピレーターマスクを着用する空気感染予防策
4. D手袋、エプロン、確実な手指衛生による接触予防策

A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?

1. AUse the fistula arm for routine IV cannulas
2. BAvoid blood pressure readings and blood samples on that arm
3. CApply a tight bandage over the fistula at night to protect it
4. DKeep the arm raised and still at all times

What is the recommended first aid for a thermal burn?

1. ACool it under cool running water for about 20 minutes
2. BApply ice directly to the burn until the pain stops completely
3. CBurst any blisters to release the fluid
4. DSpread butter or oil over the burn

A nurse teaches a patient with hypertension about their medicines. Which statement shows a need for further teaching?

1. A"I'll get up slowly from sitting."
2. B"I'll have my blood pressure checked regularly."
3. C"I'll keep taking my tablets even if I feel well."
4. D"I'll stop my tablets once my readings are normal."

An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?

1. AA ruptured abdominal aortic aneurysm
2. BRenal colic from a kidney stone
3. CMusculoskeletal back pain
4. DAcute gastritis from anti-inflammatory drugs