解答つき基礎看護学ワークシート

What happens in the implementation step of the nursing process?

1. AThe patient's problems are identified
2. BGoals are written for the first time
3. CThe planned nursing care is carried out
4. DData about the patient are collected

What is the normal range for serum sodium in adults?

1. A95–105 mmol/L
2. B2.2–2.6 mmol/L
3. C135–145 mmol/L
4. D3.5–5.0 mmol/L

Where is a sublingual tablet placed?

1. AIn the back of the throat to be swallowed
2. BUnder the tongue
3. CBetween the cheek and the gum
4. DOn top of the tongue to be chewed

In England and Wales, what does it mean if a child under 16 is "Gillick competent"?

1. ATheir parents must always make every decision for them
2. BThey are old enough to vote and drive
3. CThey can refuse all treatment, whatever the risk, until they reach the age of 18
4. DThey have enough understanding to consent to a particular treatment themselves

What makes "Risk for falls" a risk nursing diagnosis rather than an actual one?

1. AThe doctor has confirmed the diagnosis with tests and a scan
2. BThe problem can never be prevented
3. CThe fall has not happened yet, but risk factors are present
4. DThe patient has already fallen several times

A nurse posts about an "interesting patient" on social media without naming them. Why is this a problem?

1. AThe patient may still be identifiable, which breaches confidentiality
2. BIt is not a problem if the account is private
3. CIt is only a problem if the post also includes a photograph of the patient
4. DIt is not a problem because no name was given

While counting an apical pulse, the nurse finds the rhythm is irregularly irregular and the radial rate is lower than the apical rate. Which rhythm is most likely?

1. ASinus tachycardia
2. BAtrial fibrillation
3. CSinus bradycardia
4. DNormal sinus rhythm

住宅火災から救出された患者のパルスオキシメータの値は 99% ですが、眠気と頭痛があります。この値が誤って安心させるものになりうるのはなぜですか？

1. A患者の心拍数が速すぎて、機器が正確な値を出せないから
2. Bヘモグロビンに結合した一酸化炭素を、オキシメータが酸素として読み取るから
3. C熱傷で皮膚が光をよく通すようになるから
4. D煙のためにオキシメータの値が低く出すぎるから