1.やさしい
When is a patient most ready to learn about self-care?
- ADuring a period of acute breathlessness
- BWhen pain is controlled and basic physical needs are met
- CStraight after hearing bad news about a serious new diagnosis
- DWhile in severe pain, so the lesson feels important
2.やさしい
What is the normal range for arterial bicarbonate (HCO₃⁻)?
- A80–100 mEq/L
- B35–45 mEq/L
- C3.5–5.0 mEq/L
- D22–26 mEq/L
3.やさしい
ほとんどの現場で、救急部の新規来院者のトリアージを行うのは誰ですか?
- A病棟事務員
- BRN の関与がない LPN/LVN
- C看護助手
- D看護師(RN)
4.ふつう
Before accessing a central venous catheter, what should the nurse do to prevent infection?
- ARinse the hub with tap water and dry it
- BScrub the hub with an antiseptic such as chlorhexidine and let it dry
- CTouch the hub to check it is clean
- DBlow on the hub to remove any dust before connecting the syringe or line
5.ふつう
An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?
- ARh immunoglobulin within 72 hours
- BNo treatment is needed
- CA dose of the hepatitis B vaccine instead
- DVitamin K to the mother
6.ふつう
A nurse cannot read part of a medication order. What should the nurse do?
- AAsk another nurse to guess what the order most likely says, then give it
- BGive the usual dose of the drug the nurse thinks was meant
- CContact the prescriber to clarify the order before giving the drug
- DSkip the drug and not tell anyone until the next ward round
7.むずかしい
During a power cut, which patient is the nurse’s first priority?
- AA patient whose bed will not raise electrically
- BA patient who depends on a ventilator
- CA patient whose call light is not working
- DA patient watching television when it switched off
8.むずかしい
An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?
- AGiving the breathless patient’s IV furosemide
- BExplaining the new diagnosis to the breathless patient’s family
- CMorning vital signs on the four stable patients
- DAssessing the breathless patient’s lung sounds
解答
- 1. B · When pain is controlled and basic physical needs are met
- 2. D · 22–26 mEq/L
- 3. D · 看護師(RN)
- 4. B · Scrub the hub with an antiseptic such as chlorhexidine and let it dry
- 5. A · Rh immunoglobulin within 72 hours
- 6. C · Contact the prescriber to clarify the order before giving the drug
- 7. B · A patient who depends on a ventilator
- 8. C · Morning vital signs on the four stable patients
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