1.やさしい
In nursing management, what is an “assignment”?
- AA written order from a prescriber for a treatment
- BHanding legal accountability for a patient over to a nursing colleague
- CAsking a colleague to do a task outside their usual scope
- DGiving staff care activities that are within their own role and scope
2.やさしい
委任において、「正しい状況」とはどういう意味ですか?
- A看護師が、委任される人に明確で具体的な指示を与えること
- B看護師が、業務が終わった後に結果を確認すること
- C環境と患者の状態から、委任が安全であること
- Dその業務が、委任される人の職務記述書に明記されていること
3.やさしい
Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?
- AThe assistant who accepted the task
- BThe patient receiving the care
- COnly the nurse manager
- DNobody, once the task has been delegated
4.ふつう
An arterial blood gas shows pH 7.28, PaCO₂ 40 mmHg (5.3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?
- ARespiratory acidosis
- BMetabolic alkalosis
- CMetabolic acidosis
- DRespiratory alkalosis
5.ふつう
A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?
- A“If the pain has not eased as my action plan says, I will call emergency services.”
- B“I will sit or lie down when I take a tablet.”
- C“I will carry the tablets with me when I go out.”
- D“I will take five tablets one after the other before I call for help.”
6.ふつう
Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?
- AHelp the patient empty her bladder
- BGive a dose of oxytocin straight away
- CAsk the patient to lie still for another hour
- DMassage the uterus firmly for ten minutes
7.むずかしい
A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?
- AStable angina that will pass without treatment
- BMuscle strain that needs a warm compress
- CA possible myocardial infarction that needs urgent action
- DIndigestion that is best treated with an antacid and a glass of milk
8.むずかしい
申し送りの後、看護師が最初にアセスメントすべき患者はどれですか?
- A2 型糖尿病:昼食前の血糖が 210 mg/dL(11.7 mmol/L)で、症状はない
- B胆嚢手術の 2 日後:痛みが 6/10 で、次の鎮痛薬は 30 分後に予定されている
- C大腿動脈からの心臓カテーテル検査の 1 時間後:新たな背部痛、脈拍 118 回/分、血圧 92/58 mmHg
- D酸素 2 L/分を使用している COPD:SpO₂ 90 %、呼吸数 22 回/分で、普段のベースライン
解答
- 1. D · Giving staff care activities that are within their own role and scope
- 2. C · 環境と患者の状態から、委任が安全であること
- 3. A · The assistant who accepted the task
- 4. C · Metabolic acidosis
- 5. D · “I will take five tablets one after the other before I call for help.”
- 6. A · Help the patient empty her bladder
- 7. C · A possible myocardial infarction that needs urgent action
- 8. C · 大腿動脈からの心臓カテーテル検査の 1 時間後:新たな背部痛、脈拍 118 回/分、血圧 92/58 mmHg
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