1.やさしい
What is the pulse pressure?
- AThe number of heartbeats felt at the wrist in one minute
- BThe pressure needed to stop the radial pulse
- CThe average of the systolic and diastolic pressure
- DThe difference between the systolic and diastolic pressure
2.やさしい
低血糖に典型的なサインはどれですか?
- A体重増加と足首のむくみ
- Bのどの渇きと多量の排尿
- C乾いた熱い皮膚と遅い呼吸
- D発汗、ふるえ、混乱
3.やさしい
In healthcare, hepatitis B is mainly passed on through contact with:
- AIntact skin
- BBlood
- CAir
- DFood
4.ふつう
A dying patient has noisy, rattling breathing that is upsetting the family. Which nursing action helps?
- AStart deep suction every 10 minutes
- BTell the family it means the patient is choking and needs help
- CReposition the patient and explain the cause to the family
- DGive large volumes of oral fluids
5.ふつう
Why is a slide sheet used to move a patient up the bed?
- AIt keeps the bed clean during the move
- BIt reduces friction and shear on the skin
- CIt lets one nurse lift the patient alone
- DIt warms the patient during the move
6.ふつう
A goal states: "The patient will report pain of 3/10 or less within one hour of analgesia." After one hour the patient reports 6/10. What should the nurse do?
- AChange the goal to 6/10 or less so that it counts as met
- BRecord the goal as met, as the pain has gone down
- CWait until the next day to evaluate again
- DRecord the goal as not met and review the plan
7.むずかしい
A patient with a new colostomy has been taught stoma care. Which statement shows a need for further teaching?
- A"I'll measure the stoma again as it shrinks over the next weeks."
- B"I'll cut the opening much bigger than my stoma so it doesn't rub."
- C"I'll dry the skin well before putting on a new bag."
- D"I'll check the skin around my stoma when I change the bag."
8.むずかしい
A patient says they have no pain, but grimaces and holds their side whenever they move. What should the nurse do?
- AGive the strongest analgesic available straight away
- BRecord "no pain" and take no further action
- CTell the patient they are not being honest
- DExplore the difference gently and assess the pain further
解答
- 1. D · The difference between the systolic and diastolic pressure
- 2. D · 発汗、ふるえ、混乱
- 3. B · Blood
- 4. C · Reposition the patient and explain the cause to the family
- 5. B · It reduces friction and shear on the skin
- 6. D · Record the goal as not met and review the plan
- 7. B · "I'll cut the opening much bigger than my stoma so it doesn't rub."
- 8. D · Explore the difference gently and assess the pain further
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