解答つき基礎看護学ワークシート

Which physical assessment technique means listening to body sounds with a stethoscope?

1. AInspection
2. BPalpation
3. CAuscultation
4. DPercussion

On admission to a ward, what should a patient be shown early for their safety?

1. AHow to use the call bell
2. BWhere the staff room is
3. CHow to read their medical notes
4. DWhere the drug cupboard keys are kept

Which complication of long bed rest causes the foot to point downwards and stiffen in that position?

1. AFoot drop
2. BFlat foot
3. CHammer toe
4. DClub foot

How should a nurse help a patient with severe visual impairment on admission?

1. ASpeak more loudly than usual
2. BMove the patient's belongings around to keep the area tidy
3. CGuide the patient by pushing them gently from behind as they walk
4. DIntroduce themselves, describe the room and keep items in place

体格指数（BMI）はどのように計算しますか？

1. A体重（kg）を身長（m）の 2 乗で割る
2. B身長（cm）を体重（kg）で割る
3. C体重（kg）に身長（m）の 2 乗を掛ける
4. Dウエストの大きさをヒップの大きさで割る

A patient arrives back on the ward after surgery. What does the nurse assess first?

1. AThe wound dressing
2. BPain score
3. CAirway and breathing
4. DFluid balance chart

Which postoperative finding should be reported most urgently?

1. ARespiratory rate 8/min and difficult to rouse
2. BPain score of 4/10 at the wound site when moving
3. CTemperature 37.4 °C on the first day
4. DUrine output of 50 mL in the last hour

A dying patient's breathing gets deeper and faster, then shallower, followed by a pause with no breathing, in a repeating cycle. What is this pattern called?

1. AParadoxical breathing
2. BCheyne–Stokes breathing
3. CBiot's breathing
4. DKussmaul breathing