1.やさしい
大量傷病者のトリアージで、緑のタグは通常どの区分を示しますか?
- A待機可能:重傷だが当面は安定している傷病者
- B最優先:直ちに処置が必要
- C死亡または救命困難
- D軽傷:歩行可能な負傷者
2.やさしい
優先順位の問題で、「不安定な」患者とはどういう意味ですか?
- A状態が変化している、または予測しにくい患者
- B糖尿病などの長期の病気がある患者
- C明日の手術に不安を感じ、涙ぐんでいる患者
- D5 種類を超える薬を服用している患者
3.やさしい
What is the CIWA scale used to assess?
- AThe depth of a burn wound
- BThe risk of a pressure injury
- CThe severity of alcohol withdrawal
- DThe severity of a newborn’s jaundice
4.ふつう
A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?
- A“I will not use oil-based creams on my face.”
- B“My husband can smoke in my room if the window is open.”
- C“I will keep the oxygen away from the gas stove.”
- D“I will put up no-smoking signs at the front door and in my room.”
5.ふつう
A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?
- AIgnore the comment, because voices are part of his illness
- BTell him the voices are not real and leave him alone
- CAsk the roommate to stay in the room with him and help calm him down
- DKeep everyone safe and tell the team, as the risk of harm is high
6.ふつう
A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?
- AStart CPR and stop when the family arrives
- BStart chest compressions but not rescue breaths
- CFollow the DNR order and do not start CPR
- DCall the cardiac arrest team and let them decide
7.むずかしい
After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?
- AA full bladder pushing the uterus aside
- BNormal lochia for the first hour
- CUterine atony that needs more massage
- DA tear in the birth canal or cervix
8.むずかしい
An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?
- AGive the patient water to wash the food down
- BGive abdominal thrusts straight away until the food comes out
- CEncourage the patient to keep coughing and stay with them
- DSweep the mouth blindly with a finger
解答
- 1. D · 軽傷:歩行可能な負傷者
- 2. A · 状態が変化している、または予測しにくい患者
- 3. C · The severity of alcohol withdrawal
- 4. B · “My husband can smoke in my room if the window is open.”
- 5. D · Keep everyone safe and tell the team, as the risk of harm is high
- 6. C · Follow the DNR order and do not start CPR
- 7. D · A tear in the birth canal or cervix
- 8. C · Encourage the patient to keep coughing and stay with them
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