解答つき優先順位の決定と委任ワークシート

成人の心停止で、現在の一次救命処置はどの順序を用いますか？

1. AA-B-C：気道、呼吸、循環
2. BA-C-B：気道、圧迫、呼吸
3. CB-C-A：呼吸、循環、気道
4. DC-A-B：胸骨圧迫、気道、呼吸

Who is responsible for developing the nursing plan of care?

1. AThe ward clerk
2. BThe LPN/LVN alone
3. CThe registered nurse
4. DThe nursing assistant

A patient’s urine output is 15 mL/h for three hours. How should the nurse classify this in an adult?

1. AHigh, suggesting fluid overload
2. BLow and needing to be reported
3. CNormal for an adult at rest
4. DExpected after drinking fluids

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AIncrease the infusion rate to overcome the resistance
2. BStop the infusion and remove the cannula
3. CApply a tight bandage over the site to reduce swelling
4. DFlush the cannula hard to clear the blockage

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AIgnore it and hope they sort it out
2. BChange both of their assignments without any discussion
3. CReport them to human resources at once
4. DMeet both of them privately to hear each side

内科の混合病棟で、看護師が最初に診るべき患者はどれですか？

1. Aアセトアミノフェンを求めている、軽い緊張型頭痛の患者
2. B明日の退院についての書面の情報を求めている患者
3. C血圧が 136/84 mmHg の高血圧の患者
4. D持ち物を人にあげ、自殺の計画をもっている、うつ病の患者

A charge nurse notices that a nurse smells of alcohol and is slurring words at the start of the shift. What is the priority?

1. ALet the nurse work, but only with stable patients
2. BRemove the nurse from patient care and report it according to policy
3. CWait until the end of the shift and then discuss the concern with the nurse privately
4. DAsk the nurse to drink coffee and then start work

On an addiction unit, which patient should the nurse assess first?

1. AAsking for an extra blanket and a hot drink
2. BAnxious, with goose bumps, stomach cramps and loose stools
3. CYawning, with a runny nose and dilated pupils
4. DDrowsy with pinpoint pupils and a respiratory rate of 7/min