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. APalpation
2. BPercussion
3. CInspection
4. DAuscultation

What is a haematoma?

1. AA thickened area of scar tissue
2. BA collection of clear fluid in a blister
3. CA collection of blood in the tissues
4. DA collection of pus under the skin

SpO₂ は何を測定しますか？

1. A呼吸数
2. B呼気中の CO₂ の量
3. C血液ガス分析で測定される動脈血の酸素分圧
4. Dパルスオキシメータで測るヘモグロビンの酸素飽和度

Which nursing record entry is the best example of objective documentation?

1. A"Ate half of lunch; drank 200 mL of water."
2. B"Had a good appetite today and enjoyed lunch."
3. C"Seemed to enjoy the meal."
4. D"Ate well, as usual."

Why are older adults at higher risk of dehydration?

1. AThey usually drink more than younger adults
2. BTheir sense of thirst is often reduced
3. CTheir kidneys hold on to more water
4. DThey lose less water through the skin

Why is hand hygiene still needed after removing gloves?

1. AGloves can have tiny holes and hands can be contaminated during removal
2. BGlove powder causes skin allergies and must always be washed off the hands
3. CIt is not needed, as the gloves protected the hands
4. DHand hygiene is only needed if the gloves were sterile

Why are a patient's observations checked about 15 minutes after a blood transfusion starts?

1. AIt is only for record-keeping purposes
2. BIt is the time the blood takes to warm up
3. CReactions only ever occur after the transfusion ends
4. DSerious reactions often happen early in a transfusion

For a patient at risk of pressure ulcers, why is the head of the bed usually kept at 30 degrees or less if their condition allows?

1. ALower angles stop the patient from getting out of bed
2. BHigher angles make the patient slide down, causing shear over the sacrum
3. CLower angles increase blood flow to the heels
4. DHigher angles always cause breathing problems in patients who are bedbound