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

In mass-casualty triage, what does a yellow tag usually mean?

  1. ADeceased or not expected to survive
  2. BImmediate: life-threatening injuries that are survivable with quick care
  3. CDelayed: serious injuries, but care can safely wait a little
  4. DMinor: the walking wounded
2.やさしい

Which value is the usual target INR for a patient taking warfarin for atrial fibrillation?

  1. A0.5–1.0
  2. B4.0–5.0
  3. C2.0–3.0
  4. D6.0–7.0
3.やさしい

Which adult blood glucose result needs treatment straight away?

  1. A110 mg/dL (6.1 mmol/L) after a snack
  2. B130 mg/dL (7.2 mmol/L) two hours after a large lunch
  3. C52 mg/dL (2.9 mmol/L) with sweating and shakiness
  4. D98 mg/dL (5.4 mmol/L) before breakfast
4.ふつう

看護師（RN）が看護助手に「12 号室の患者さんを見てきて」と伝えました。委任の正しさのうち、欠けているのはどれですか？

  1. A現場に合った正しい業務
  2. Bその業務に正しい人
  3. C正しい状況
  4. D正しい指示とコミュニケーション
5.ふつう

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

  1. A“I will give my child aspirin to bring the fever down.”
  2. B“I will call if my child has trouble breathing.”
  3. C“I will keep my child home from school and away from others while unwell.”
  4. D“I will give my child plenty of fluids.”
6.ふつう

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

  1. ASpeak calmly, keep a safe distance and invite him to talk about what is wrong
  2. BTurn away and ignore the behavior
  3. CApply physical restraints at once
  4. DStand very close to him and tell him firmly and loudly to sit down and be quiet
7.むずかしい

上部消化管出血の患者の心拍数が 128 回/分、血圧が 84/50 mmHg です。以下はすべて処方されています。看護師が最初に開始するのはどれですか？

  1. Aプロトンポンプ阻害薬の静脈内点滴
  2. B太い静脈留置針による輸液または輸血
  3. C診断のための内視鏡検査を翌朝に予約すること
  4. D経口の鉄剤
8.むずかしい

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

  1. AVital signs never change the ESI level
  2. BThe patient is level 5 because the pain is not severe
  3. CThe nurse should consider level 2 because of the danger-zone vital sign
  4. DThe patient is level 4 because the blood tests and the scan count as one resource

解答

  1. 1. C · Delayed: serious injuries, but care can safely wait a little
  2. 2. C · 2.0–3.0
  3. 3. C · 52 mg/dL (2.9 mmol/L) with sweating and shakiness
  4. 4. D · 正しい指示とコミュニケーション
  5. 5. A · “I will give my child aspirin to bring the fever down.”
  6. 6. A · Speak calmly, keep a safe distance and invite him to talk about what is wrong
  7. 7. B · 太い静脈留置針による輸液または輸血
  8. 8. C · The nurse should consider level 2 because of the danger-zone vital sign

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