1.やさしい
What is a “near miss” in patient safety?
- AA planned treatment that did not work
- BA complaint from a visitor
- CAn error that was caught before it reached the patient
- DAn error that reached the patient and caused serious harm
2.やさしい
What does a raised troponin level usually show?
- ADamage to the liver
- BA urinary tract infection
- CDamage to heart muscle
- DLow blood sugar
3.やさしい
大量傷病者のトリアージで、赤のタグは通常何を意味しますか?
- A救命困難:処置をしても生存の見込みが低い、またはすでに死亡している
- B最優先(即時):生命に関わるが、速やかな処置で救命可能
- C軽症:歩行可能で、安全に待てる
- D待機可能(遅延):重傷だが、当面は安定している
4.ふつう
An arterial blood gas shows pH 7.28, PaCO₂ 40 mmHg (5.3 kPa) and HCO₃⁻ 16 mEq/L (mmol/L). How should the nurse interpret it?
- AMetabolic acidosis
- BRespiratory alkalosis
- CRespiratory acidosis
- DMetabolic alkalosis
5.ふつう
After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?
- AA pressure injury on the heel
- BDislocation of the new hip
- CA urinary tract infection
- DNormal pain after surgery
6.ふつう
A patient receiving chemotherapy has a temperature of 38.3 °C and a very low neutrophil count. What should the nurse do?
- ADocument the reading and mention it at the next handover
- BGive a cool shower and offer extra fluids, then wait and see what happens
- CReport it at once, because cultures and antibiotics are needed quickly
- DRecheck the temperature in four hours before telling anyone
7.むずかしい
A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?
- AThe open fracture of the leg
- BThe risk of wound infection
- CThe pain from the fracture
- DThe suspected tension pneumothorax
8.むずかしい
Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?
- ARaise the head of the bed so the patient can sit up
- BRemove the dressing and leave the site open to the air
- CApply firm, direct pressure just above the puncture site
- DAsk the patient to bend the leg at the hip to stop the bleeding
解答
- 1. C · An error that was caught before it reached the patient
- 2. C · Damage to heart muscle
- 3. B · 最優先(即時):生命に関わるが、速やかな処置で救命可能
- 4. A · Metabolic acidosis
- 5. B · Dislocation of the new hip
- 6. C · Report it at once, because cultures and antibiotics are needed quickly
- 7. D · The suspected tension pneumothorax
- 8. C · Apply firm, direct pressure just above the puncture site
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