1.やさしい
In the ABC framework, which finding is mainly a breathing problem?
- AShallow breaths with an SpO₂ of 85% on room air
- BA blood glucose of 60 mg/dL (3.3 mmol/L)
- CHeart rate 150/min with a low blood pressure and cold skin
- DStridor caused by a swollen throat
2.やさしい
What is the main purpose of a rapid response team?
- ATo transport stable patients between hospital units
- BTo handle complaints from patients and families
- CTo review medication errors and falls after they have happened on the unit
- DTo assess and treat a deteriorating patient before an arrest happens
3.やさしい
Which resting heart rate in an adult is bradycardia?
- A72/min
- B46/min
- C88/min
- D64/min
4.ふつう
One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?
- AEncourage the patient to rest quietly
- BMassage the fundus
- COffer a meal and fluids
- DApply an ice pack to the perineum
5.ふつう
When making patient assignments, what should the charge nurse consider first?
- AMatching each patient’s needs to staff competence
- BGiving each nurse patients in rooms next to each other
- CGiving the newest staff the most complex patients
- DLetting staff choose the patients they prefer
6.ふつう
看護師が、過去 1 時間にわたって血圧が下がり続けている患者の定期的なバイタルサインを、看護助手に委任しました。満たされていない委任の正しさはどれですか?
- A正しい指示とコミュニケーション
- B正しい人
- C正しい状況
- Dバイタルサインは決して委任できないので、正しい業務
7.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?
- AAsk the patient to bend the leg at the hip to stop the bleeding
- BRaise the head of the bed so the patient can sit up
- CRemove the dressing and leave the site open to the air
- DApply firm, direct pressure just above the puncture site
8.むずかしい
A child who had a tonsillectomy this morning is swallowing again and again while asleep. What should the nurse suspect?
- ABleeding from the operation site
- BHunger after fasting for surgery
- CNormal swallowing during sleep
- DA sore throat from the breathing tube
解答
- 1. A · Shallow breaths with an SpO₂ of 85% on room air
- 2. D · To assess and treat a deteriorating patient before an arrest happens
- 3. B · 46/min
- 4. B · Massage the fundus
- 5. A · Matching each patient’s needs to staff competence
- 6. C · 正しい状況
- 7. D · Apply firm, direct pressure just above the puncture site
- 8. A · Bleeding from the operation site
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