1.やさしい
How many levels does the Emergency Severity Index have?
- AThree
- BFour
- CFive
- DSix
2.やさしい
What does a raised troponin level usually show?
- ADamage to heart muscle
- BLow blood sugar
- CDamage to the liver
- DA urinary tract infection
3.やさしい
Which finding should a nursing assistant report to the nurse at once?
- AA patient who would like tea instead of coffee
- BA pulse of 42/min in a patient whose usual pulse is 76/min
- CA patient whose weight is unchanged from yesterday
- DA patient who wants to shower in the evening
4.ふつう
A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?
- A“Turn the pump off and on again until it stops.”
- B“I will come and check the pump and the IV site now.”
- C“Increase the rate a little so the alarm clears.”
- D“Silence the alarm and I will check it at the end of the shift.”
5.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?
- AFollow the DNR order and do not start CPR
- BStart CPR and stop when the family arrives
- CStart chest compressions but not rescue breaths
- DCall the cardiac arrest team and let them decide
6.ふつう
Which practice makes a shift handover safest?
- ALeaving a sticky note on the computer screen for the next nurse
- BHanding over only the patients who had problems during the shift
- CA structured format, such as SBAR, with time for questions
- DA quick chat in the corridor with no notes taken
7.むずかしい
After handover on a medical unit, which patient should the nurse see first?
- APneumonia on 2 L/min oxygen, SpO₂ 93%, talking in full sentences
- BNew atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
- CDay 2 after a hernia repair, pain 6/10, oral analgesic due in 20 minutes, wants it now
- DDeep vein thrombosis on a heparin infusion, aPTT in the target range
8.むずかしい
A patient in hypovolemic shock is receiving IV fluids. Which finding best shows that the treatment is working?
- AUrine output at least 0.5 mL/kg/h and clearer thinking
- BNew crackles at both lung bases
- CCooler, paler skin on the arms and legs
- DA heart rate that keeps rising after each bag of fluid
解答
- 1. C · Five
- 2. A · Damage to heart muscle
- 3. B · A pulse of 42/min in a patient whose usual pulse is 76/min
- 4. B · “I will come and check the pump and the IV site now.”
- 5. A · Follow the DNR order and do not start CPR
- 6. C · A structured format, such as SBAR, with time for questions
- 7. B · New atrial fibrillation, heart rate 150/min, blood pressure 86/50 mmHg, dizzy
- 8. A · Urine output at least 0.5 mL/kg/h and clearer thinking
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