1.やさしい
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?
- A夜間の転倒リスク
- Bガス交換障害
- C社会的孤立
- D自尊感情の低下
2.やさしい
Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?
- ADeciding whether a pressure injury has got worse since yesterday
- BPlanning the patient’s skin care
- CChoosing which wound dressing to use
- DTurning and repositioning the patient every 2 hours
3.やさしい
What does the Braden Scale measure?
- AThe risk of developing a pressure injury
- BThe level of consciousness after a head injury
- CThe risk of falling during a hospital stay
- DThe severity of alcohol withdrawal symptoms
4.ふつう
Before giving a scheduled dose of metoprolol, which assessment is most important?
- AApical pulse and blood pressure
- BTemperature and the latest pain score
- CBowel sounds and urine color
- DBlood glucose and weight
5.ふつう
A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?
- ASubcutaneous long-acting insulin only, given once
- BIV isotonic fluid such as 0.9% sodium chloride
- COral potassium tablets
- DA high-carbohydrate meal
6.ふつう
RN が LPN/LVN に委任するのに最も適切な業務はどれですか?
- Aインスリンを新しく始めた患者への退院指導
- B新規患者の入院時アセスメント
- C安定した患者への留置カテーテルの挿入
- D最初の赤血球製剤の開始
7.むずかしい
A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?
- AAsking the runner to rest in the shade and drink slowly
- BWrapping the runner in a blanket to prevent shivering
- CGiving an antipyretic tablet and waiting for it to work
- DRapid cooling while supporting airway and circulation
8.むずかしい
Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?
- AAdvise more sleep and book a routine follow-up visit for next month
- BReassure her that this is normal “baby blues”
- CKeep the mother and baby safe and arrange urgent psychiatric care
- DLeave her alone with the baby to bond
解答
- 1. B · ガス交換障害
- 2. D · Turning and repositioning the patient every 2 hours
- 3. A · The risk of developing a pressure injury
- 4. A · Apical pulse and blood pressure
- 5. B · IV isotonic fluid such as 0.9% sodium chloride
- 6. C · 安定した患者への留置カテーテルの挿入
- 7. D · Rapid cooling while supporting airway and circulation
- 8. C · Keep the mother and baby safe and arrange urgent psychiatric care
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