1.やさしい
According to WHO guidance, how long should a full alcohol hand rub take?
- AAbout 5 minutes
- BAbout 2 minutes
- CAbout 20–30 seconds
- DAbout 5 seconds
2.やさしい
Which body temperature is within the normal range for an adult?
- A34.6 °C
- B39.2 °C
- C36.8 °C
- D38.4 °C
3.やさしい
What happens in the implementation step of the nursing process?
- AThe planned nursing care is carried out
- BThe patient's problems are identified
- CData about the patient are collected
- DGoals are written for the first time
4.ふつう
A dying patient has noisy, rattling breathing that is upsetting the family. Which nursing action helps?
- ATell the family it means the patient is choking and needs help
- BStart deep suction every 10 minutes
- CReposition the patient and explain the cause to the family
- DGive large volumes of oral fluids
5.ふつう
A patient is found on the floor beside the bed. What should the nurse do first?
- AComplete the incident report first, then go back to assess the patient fully
- BLift the patient straight back into bed
- CCheck responsiveness and look for injuries before moving them
- DAsk the patient to stand up on their own
6.ふつう
A student nurse is asked to carry out a procedure they have not been trained to do. What should they do?
- AWatch a video and then do it alone
- BDo it anyway, carefully, to avoid upsetting the team or delaying care
- CAsk the patient to talk them through it
- DExplain that they have not been trained and ask for supervision
7.むずかしい
During tracheal suction a patient's SpO₂ falls from 95% to 85% and the heart rate drops. What should the nurse do?
- AIncrease the suction pressure to finish faster
- BStop suctioning and give oxygen until the patient recovers
- CContinue until all the secretions have been removed from the airway
- DInsert the catheter further into the airway
8.むずかしい
What is the best way to check that a patient has learned to use an inhaler correctly?
- AAsk the patient to show how they use it
- BAsk whether they have read the leaflet
- CAsk them to repeat the drug's name
- DAsk whether they have any questions
解答
- 1. C · About 20–30 seconds
- 2. C · 36.8 °C
- 3. A · The planned nursing care is carried out
- 4. C · Reposition the patient and explain the cause to the family
- 5. C · Check responsiveness and look for injuries before moving them
- 6. D · Explain that they have not been trained and ask for supervision
- 7. B · Stop suctioning and give oxygen until the patient recovers
- 8. A · Ask the patient to show how they use it
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