解答つき優先順位の決定と委任ワークシート

委任において、「正しい状況」とはどういう意味ですか？

1. A看護師が、委任される人に明確で具体的な指示を与えること
2. Bその業務が、委任される人の職務記述書に明記されていること
3. C看護師が、業務が終わった後に結果を確認すること
4. D環境と患者の状態から、委任が安全であること

What does “scope of practice” mean?

1. AThe highest number of patients a nurse may care for during a single shift
2. BThe hospital areas where a nurse is allowed to work
3. CThe activities a nurse is educated, competent and legally allowed to do
4. DThe salary range that applies to each nursing role

When a nurse receives a critical lab result by phone, what does “read-back” mean?

1. AReading the result aloud to the patient straight away
2. BReading the result to the next shift at handover
3. CWaiting for the written report before doing anything
4. DRepeating the result back to the caller to confirm it

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

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

A parent calls to say their toddler has just swallowed drain cleaner. What should the nurse advise?

1. AMake the child vomit straight away to bring up the chemical
2. BGive a large glass of fizzy drink or milk to dilute the cleaner before calling anyone
3. CWait to see whether the child develops any symptoms first
4. DDo not make the child vomit; call poison control or emergency services now

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“I will sit or lie down when I take a tablet.”
2. B“I will carry the tablets with me when I go out.”
3. C“I will take five tablets one after the other before I call for help.”
4. D“If the pain has not eased as my action plan says, I will call emergency services.”

A patient who is 7 weeks pregnant has one-sided lower abdominal pain, pain in the shoulder tip, a heart rate of 120/min and a blood pressure of 88/54 mmHg. What is most likely?

1. AA ruptured ectopic pregnancy
2. BA normal early pregnancy
3. CA urinary tract infection
4. DSevere morning sickness

An infant is choking and cannot cry or breathe. Which technique is correct?

1. ABack blows and chest thrusts
2. BA blind finger sweep of the mouth
3. CHolding the infant upside down by the feet
4. DAbdominal thrusts, as in adults