解答つき優先順位の決定と委任ワークシート

Which task should the registered nurse not delegate to a nursing assistant?

1. AMaking an occupied bed
2. BEvaluating whether the patient understood discharge teaching
3. CWalking a stable patient up and down the corridor after lunch
4. DGiving a bed bath to a stable patient

マズローの欲求階層を用いるとき、看護師が通常、最初に対処する患者の問題はどれですか？

1. A社会的孤立
2. Bガス交換障害
3. C自尊感情の低下
4. D夜間の転倒リスク

Which task can the RN usually assign to an LPN/LVN?

1. ADoing the admission assessment of a new patient
2. BWriting the patient’s initial plan of care
3. CTriaging a new arrival in the emergency department
4. DChanging the dressing on a stable, healing wound

デイルームで食事をしていた成人の患者が、突然のどをつかみ、話すことも、呼吸することも、咳をすることもできません。看護師が最初にすることは何ですか？

1. A応援を呼び、背部叩打と腹部突き上げを行う
2. B口の中を指で盲目的にかき出す
3. C患者が咳で出せるかどうか様子を見る
4. D食べ物を流し込むために、コップ 1 杯の水を与える

看護師が最後に診ても安全な患者はどれですか？

1. A突然の激しい頭痛がある患者
2. B1 L/分の酸素を使用し、SpO₂ 90 %（目標 88～92 %）で、文章で会話できる COPD の患者
3. C新たな湿性ラ音とピンク色の泡沫状の痰がある患者
4. D手術の 2 時間後で、心拍数が 88 から 118 回/分に上昇している患者

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AGive the next dose of lisinopril with water
2. BAssess the airway and call for urgent help
3. CApply a cold pack and recheck in an hour
4. DTell the patient this is a common, harmless effect

Which patient with cirrhosis should the nurse see first?

1. AWants to talk about stopping drinking alcohol for good
2. BVomiting bright red blood, heart rate 120/min
3. CLarge ascites that is unchanged from yesterday
4. DLong-standing jaundice and itchy skin, asking for cream

A patient taking an MAO inhibitor antidepressant is taught about diet. Which statement shows a need for further teaching?

1. A“A sudden severe headache is a warning sign.”
2. B“I will avoid tap beer and red wine.”
3. C“I will check with the pharmacist before cold remedies.”
4. D“I can still eat aged cheese and cured salami.”