1.やさしい
Which body temperature is a fever in an adult?
- A36.4 °C
- B36.8 °C
- C37.1 °C
- D38.5 °C
2.やさしい
Which drug is used to reverse the effect of warfarin?
- ANaloxone
- BFlumazenil
- CVitamin K
- DProtamine sulfate
3.やさしい
Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?
- ATurning and repositioning the patient every 2 hours
- BPlanning the patient’s skin care
- CChoosing which wound dressing to use
- DDeciding whether a pressure injury has got worse since yesterday
4.ふつう
An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?
- AA side effect of drinking too much water
- BThe constipation has fully resolved
- CFecal impaction with liquid stool passing around it
- DA new bowel infection that has caused the diarrhea
5.ふつう
A patient with severe neutropenia needs a room. Which roommate is the safest choice?
- AA patient with C. difficile diarrhea
- BA patient with influenza
- CA patient with an infected, draining leg wound
- DA patient after a knee replacement with no signs of infection
6.ふつう
A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?
- A“I will press the button for her while she is asleep so she stays comfortable.”
- B“The pump has limits set by the nurse so she cannot get too much at once.”
- C“I will tell the nurse if she becomes very sleepy or hard to wake.”
- D“Only she should press the button when she needs pain relief.”
7.むずかしい
Which nursing approach may raise intracranial pressure in a patient with a head injury?
- AKeeping the head in line with the body
- BDoing suctioning, turning and bathing all at the same time
- CSpacing out care with rest periods in between activities
- DKeeping the room calm and quiet
8.むずかしい
After handover on a medical unit, which patient should the nurse see first?
- ADeep vein thrombosis on a heparin infusion, aPTT in the target range
- BNew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
- CDay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
- DPneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences
解答
- 1. D · 38.5 °C
- 2. C · Vitamin K
- 3. A · Turning and repositioning the patient every 2 hours
- 4. C · Fecal impaction with liquid stool passing around it
- 5. D · A patient after a knee replacement with no signs of infection
- 6. A · “I will press the button for her while she is asleep so she stays comfortable.”
- 7. B · Doing suctioning, turning and bathing all at the same time
- 8. B · New atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
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