1.やさしい
What is the usual adult reference range for serum potassium?
- AAbout 135–145 mEq/L
- BAbout 1.5–2.5 mEq/L
- CAbout 3.5–5.0 mEq/L
- DAbout 6.0–8.0 mEq/L
2.やさしい
What is a “near miss” in patient safety?
- AAn error that reached the patient and caused serious harm
- BA planned treatment that did not work
- CAn error that was caught before it reached the patient
- DA complaint from a visitor
3.やさしい
What is status epilepticus?
- AA seizure lasting 5 minutes or more, or repeated seizures without recovery
- BA single short seizure that stops on its own within a minute or two
- CA faint caused by standing up too quickly
- DA seizure that happens only during sleep
4.ふつう
A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?
- A“I will take five tablets one after the other before I call for help.”
- B“If the pain has not eased as my action plan says, I will call emergency services.”
- C“I will carry the tablets with me when I go out.”
- D“I will sit or lie down when I take a tablet.”
5.ふつう
Which patient with diabetes should the nurse see first?
- AHbA1c result of 8.2%, asking about diet
- BNeeds foot care teaching before discharge tomorrow
- CGlucose 210 mg/dL (11.7 mmol/L) after a large lunch, feels well
- DGlucose 48 mg/dL (2.7 mmol/L), sweating and confused
6.ふつう
A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?
- AA rise in blood pressure with flushed cheeks
- BIncreasing sleepiness that is hard to rouse
- CIncreased appetite and thirst
- DA sudden rise in pain scores
7.むずかしい
チームに RN、LPN/LVN、看護助手がいます。最も適切な割り当てはどれですか?
- A助手:新規入院、LPN/LVN:清潔ケア、RN:安定した患者の定期的なバイタルサイン
- BRN:新規入院、LPN/LVN:安定した患者への与薬、助手:清潔ケア
- CLPN/LVN:すべての初期アセスメント、RN:定時の与薬、助手:退院指導
- D助手:経口薬、LPN/LVN:看護計画、RN:安定した患者の清潔ケア
8.むずかしい
A patient is going home on a new oral anticoagulant. There is only a short time for teaching. Which topic is most important?
- AHow to choose comfortable walking shoes
- BWhich television programs help with relaxation
- CSigns of bleeding and when to seek help
- DHow to cook low-fat meals
解答
- 1. C · About 3.5–5.0 mEq/L
- 2. C · An error that was caught before it reached the patient
- 3. A · A seizure lasting 5 minutes or more, or repeated seizures without recovery
- 4. A · “I will take five tablets one after the other before I call for help.”
- 5. D · Glucose 48 mg/dL (2.7 mmol/L), sweating and confused
- 6. B · Increasing sleepiness that is hard to rouse
- 7. B · RN:新規入院、LPN/LVN:安定した患者への与薬、助手:清潔ケア
- 8. C · Signs of bleeding and when to seek help
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