解答つき優先順位の決定と委任ワークシート

When taking off protective equipment, which item is usually removed first?

1. AGown
2. BGoggles
3. CGloves
4. DMask

安定した患者について、一般に准看護師（LPN/LVN）の業務範囲に含まれる活動はどれですか？

1. A看護計画の作成
2. B救急部での新規来院者のトリアージ
3. C定時の経口薬の投与
4. D入院時の初期アセスメント

A patient’s respiratory rate is 30/min at rest. How should the nurse classify this finding in an adult?

1. AAbnormally fast and needing assessment
2. BNormal after a meal
3. CWithin the normal adult range
4. DSlow, and expected while the patient is asleep

A nurse teaches foot care to a patient with diabetes. Which statement shows a need for further teaching?

1. A“I will dry well between my toes after washing.”
2. B“I will soak my feet in hot water every evening.”
3. C“I will wear shoes that fit well, even at home.”
4. D“I will check the soles of my feet every day with a mirror.”

看護師が、明らかに小さすぎるカフで血圧を測定している看護助手を見かけました。看護師はどうすべきですか？

1. Aその日は助手を患者ケアから外す
2. Bすぐに介入し、やり方をさりげなく正して、再測定する
3. C助手の次回の年次評価のときに伝える
4. D1 回の高い値は問題にならないので、無視する

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ADrinking thin fluids quickly through a straw between bites
2. BTalking while eating to stay alert
3. CLying flat with the head tilted back
4. DSitting upright with the chin tucked down while swallowing

A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?

1. AAcute chest syndrome, which needs urgent escalation and oxygen
2. BAnxiety that will settle with reassurance
3. CA minor chest infection that can safely wait until the morning round
4. DAn ordinary pain crisis that will improve with rest

Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?

1. ARejection of the transplant
2. BDehydration from drinking too much
3. CNormal healing of the transplant
4. DA side effect of eating salty food