1.やさしい
Which type of mattress helps prevent pressure ulcers in high-risk patients?
- AA pressure-redistributing mattress
- BA mattress with extra blankets on top
- CA thin foam pad placed on the floor
- DA firm mattress with a plastic cover only
2.やさしい
What is an incentive spirometer used for?
- AEncouraging slow, deep breaths to keep the lungs expanded
- BMeasuring the oxygen level in the blood before and after surgery
- CGiving inhaled medicines to the lungs
- DRemoving mucus from the airway by suction
3.やさしい
最も高い酸素濃度を供給できる酸素器具はどれですか?
- A24% に設定したベンチュリーマスク
- Bリザーバーバッグ付きの非再呼吸式マスク
- C鼻カニューレ
- D簡易酸素マスク
4.ふつう
A dying patient is no longer drinking and breathes through the mouth. What mouth care is most appropriate?
- AClean the mouth only once a day with a hard toothbrush
- BGive large drinks of water every hour
- CKeep the mouth and lips moist with frequent gentle care
- DAvoid mouth care so the patient is not disturbed
5.ふつう
Why should insulin injection sites be rotated?
- ABecause each site can only be used once
- BTo prevent lumpy fatty swelling that affects absorption
- CTo make the insulin work more quickly with each injection
- DTo stop the patient getting used to the needle
6.ふつう
A patient is found on the floor beside the bed. What should the nurse do first?
- AAsk the patient to stand up on their own
- BLift the patient straight back into bed
- CCheck responsiveness and look for injuries before moving them
- DComplete the incident report first, then go back to assess the patient fully
7.むずかしい
A toddler is brought in with bruises on both cheeks and the parent's explanation does not fit the injuries. What should the nurse do?
- ADocument accurately and follow the child safeguarding procedure
- BIgnore it, as children often bruise themselves
- CConfront the parent and ask them directly whether they hurt the child
- DSend the child home and phone the family next week
8.むずかしい
Two days after surgery a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. What is the most helpful nursing action, alongside reporting it?
- ARestrict all fluids to dry the secretions
- BKeep the patient lying flat in bed so they can rest and save energy
- CEncourage deep breathing, coughing and getting out of bed
- DStop all pain relief so the patient stays alert
解答
- 1. A · A pressure-redistributing mattress
- 2. A · Encouraging slow, deep breaths to keep the lungs expanded
- 3. B · リザーバーバッグ付きの非再呼吸式マスク
- 4. C · Keep the mouth and lips moist with frequent gentle care
- 5. B · To prevent lumpy fatty swelling that affects absorption
- 6. C · Check responsiveness and look for injuries before moving them
- 7. A · Document accurately and follow the child safeguarding procedure
- 8. C · Encourage deep breathing, coughing and getting out of bed
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