1.やさしい
Which of these is a closed question?
- A"Do you have any pain now?"
- B"Can you tell me about your pain?"
- C"How are you feeling today?"
- D"What worries you about going home?"
2.やさしい
What happens in the implementation step of the nursing process?
- AThe planned nursing care is carried out
- BGoals are written for the first time
- CThe patient's problems are identified
- DData about the patient are collected
3.やさしい
「患者の最善の利益のために行動し、善を行う」ことを意味する倫理原則はどれですか?
- A無危害
- B正義
- C善行
- D自律
4.ふつう
看護診断は医学診断とどう違いますか?
- A手術後にだけ使う
- B健康問題に対する患者の反応を表す
- C医師が行い、看護師が書き写す
- D患者の症状の原因となる病気や病態を特定する
5.ふつう
A patient has just finished a glass of iced water. How should this affect taking an oral temperature?
- ATake it straight away, as cold drinks do not affect the mouth
- BAdd half a degree to the reading to correct for the drink
- CWait about 15–30 minutes, as the reading may be falsely low
- DUse the reading but only if the patient says they feel warm
6.ふつう
While being helped to eat, a patient with dysphagia coughs and their voice sounds wet and gurgly. What should the nurse do?
- AFeed more quickly so the meal is finished before they tire
- BStop feeding and report for a swallowing assessment
- CGive a drink of water to wash the food down
- DLie the patient flat to rest
7.むずかしい
During a sterile dressing change, the nurse's sterile glove touches the bed rail. What should the nurse do?
- AWipe the glove with an alcohol swab and carry on with the dressing change
- BCarry on, as the bed rail was cleaned that morning
- CRemove the gloves, perform hand hygiene and put on new sterile gloves
- DPut a second pair of sterile gloves over the first pair
8.むずかしい
A potassium result is unexpectedly high and the lab reports that the sample was haemolysed. What does this mean?
- AThe result may be falsely high and the test should be repeated
- BThe patient definitely has dangerous hyperkalaemia needing treatment
- CThe patient definitely has low potassium
- DThe result is accurate and needs no follow-up
解答
- 1. A · "Do you have any pain now?"
- 2. A · The planned nursing care is carried out
- 3. C · 善行
- 4. B · 健康問題に対する患者の反応を表す
- 5. C · Wait about 15–30 minutes, as the reading may be falsely low
- 6. B · Stop feeding and report for a swallowing assessment
- 7. C · Remove the gloves, perform hand hygiene and put on new sterile gloves
- 8. A · The result may be falsely high and the test should be repeated
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