解答つき優先順位の決定と委任ワークシート

Which protective equipment is needed for airborne precautions?

1. AGloves only
2. BA simple surgical mask worn loosely
3. CA fit-tested N95 or FFP3 respirator
4. DA plastic apron only

救急の緊急度分類 ESI（Emergency Severity Index）で、レベル 1 は何を意味しますか？

1. Aファストトラックのエリアで診られるほど安定している
2. B直ちに救命のための介入が必要
3. C最も緊急度が低い患者
4. D2 つ以上の資源が必要

Which fasting blood glucose value is normal for an adult without diabetes?

1. A145 mg/dL (8.0 mmol/L)
2. B55 mg/dL (3.1 mmol/L)
3. C210 mg/dL (11.7 mmol/L)
4. D85 mg/dL (4.7 mmol/L)

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?

1. ARespiratory alkalosis
2. BRespiratory acidosis
3. CMetabolic alkalosis
4. DMetabolic acidosis

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. AA strong pedal pulse with warm, pink toes and pain that settles with analgesia
2. BItching under the cast during the first week after it was applied
3. CPain out of proportion to the injury that worsens when the toes are stretched
4. DMild bruising around the fracture site on the second day

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. ACover the wound with sterile dressings moistened with saline
2. BHelp the patient walk to the toilet to relieve abdominal pressure
3. CLeave the wound uncovered so the surgeon can see it on arrival
4. DPush the bowel gently back into the abdomen with a gloved hand

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. ARed (immediate)
2. BBlack (expectant)
3. CGreen (minor)
4. DYellow (delayed)

A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?

1. AStart a series of aggressive tests to find the exact cause of the breathlessness
2. BLeave the patient alone so they can rest
3. CWithhold all opioids because they may slow breathing
4. DGive prescribed opioids and use positioning and a fan to relieve breathlessness