解答つき優先順位の決定と委任ワークシート

無料で印刷できる優先順位の決定と委任のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

What is the CIWA scale used to assess?

  1. AThe depth of a burn wound
  2. BThe severity of a newborn’s jaundice
  3. CThe risk of a pressure injury
  4. DThe severity of alcohol withdrawal
2.やさしい

Which protective equipment is needed for airborne precautions?

  1. AA plastic apron only
  2. BGloves only
  3. CA simple surgical mask worn loosely
  4. DA fit-tested N95 or FFP3 respirator
3.やさしい

Which finding is expected in a patient with long-standing COPD?

  1. ASudden sharp chest pain
  2. BA barrel-shaped chest
  3. CNew confusion
  4. DAn SpO₂ of 78%
4.ふつう

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

  1. APain out of proportion to the injury that worsens when the toes are stretched
  2. BItching under the cast during the first week after it was applied
  3. CA strong pedal pulse with warm, pink toes and pain that settles with analgesia
  4. DMild bruising around the fracture site on the second day
5.ふつう

Which practice makes a shift handover safest?

  1. AHanding over only the patients who had problems during the shift
  2. BA quick chat in the corridor with no notes taken
  3. CLeaving a sticky note on the computer screen for the next nurse
  4. DA structured format, such as SBAR, with time for questions
6.ふつう

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

  1. ARecord the weight on the chart and recheck it at the next weekly weigh-in
  2. BAssess the lungs, oxygen saturation and swelling, then inform the provider
  3. CEncourage extra fluids to correct the weight change
  4. DLay the patient flat to help them breathe more easily
7.むずかしい

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 normal early pregnancy
  2. BA ruptured ectopic pregnancy
  3. CA urinary tract infection
  4. DSevere morning sickness
8.むずかしい

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

  1. AGive antibiotic eye drops first
  2. BRub the eye gently with a clean tissue to remove the chemical
  3. CFlush the eye with plenty of water or saline straight away
  4. DCover the eye with a dry patch and wait for the provider

解答

  1. 1. D · The severity of alcohol withdrawal
  2. 2. D · A fit-tested N95 or FFP3 respirator
  3. 3. B · A barrel-shaped chest
  4. 4. A · Pain out of proportion to the injury that worsens when the toes are stretched
  5. 5. D · A structured format, such as SBAR, with time for questions
  6. 6. B · Assess the lungs, oxygen saturation and swelling, then inform the provider
  7. 7. B · A ruptured ectopic pregnancy
  8. 8. C · Flush the eye with plenty of water or saline straight away

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