1.やさしい
What is the purpose of the “time-out” just before a surgical procedure?
- ATo count the swabs at the end of the operation
- BTo let the family say goodbye to the patient
- CTo give the surgeon a short rest before the operation starts
- DTo confirm the correct patient, procedure and site
2.やさしい
Which single action is the most effective way to prevent the spread of infection in hospital?
- AHand hygiene
- BKeeping the windows closed
- CWearing a mask all day
- DGiving every patient antibiotics
3.やさしい
Which task is appropriate to delegate to a nursing assistant?
- AGiving a stable patient their oral medications
- BFeeding a stable patient who has no swallowing problems
- CAssessing a pressure injury on the sacrum
- DFeeding a patient with newly diagnosed dysphagia after a stroke
4.ふつう
A malnourished patient admitted with alcohol use disorder needs IV glucose. Which vitamin is given before or with it?
- AVitamin C (ascorbic acid)
- BThiamine (vitamin B1)
- CVitamin K (phytonadione)
- DVitamin D (calciferol)
5.ふつう
A patient has a serum potassium of 6.8 mEq/L. Which action comes first?
- ARecheck the level next week
- BGive the patient’s scheduled potassium supplement
- CPlace the patient on a cardiac monitor
- DEncourage foods high in potassium
6.ふつう
病棟での心停止で、患者に反応がなく正常な呼吸がないことを確認したあと、最初に行う行動はどれですか?
- A血圧を測定する
- B応援を呼ぶ前に、蘇生の方針を確認するために患者の記録を探す
- C人工呼吸を 2 回行い、その後 1 分間脈拍を確認する
- D応援を呼び、胸骨圧迫を開始する
7.むずかしい
A patient receiving comfort-focused end-of-life care is distressed by breathlessness. Which approach is most appropriate?
- ALeave the patient alone so they can rest
- BGive prescribed opioids and use positioning and a fan to relieve breathlessness
- CWithhold all opioids because they may slow breathing
- DStart a series of aggressive tests to find the exact cause of the breathlessness
8.むずかしい
A patient in labor is receiving oxytocin, and the fetal monitor shows repeated late decelerations. What should the nurse do first?
- AIncrease the oxytocin rate
- BPlace the patient flat on her back
- CEncourage the patient to start pushing
- DStop the oxytocin infusion
解答
- 1. D · To confirm the correct patient, procedure and site
- 2. A · Hand hygiene
- 3. B · Feeding a stable patient who has no swallowing problems
- 4. B · Thiamine (vitamin B1)
- 5. C · Place the patient on a cardiac monitor
- 6. D · 応援を呼び、胸骨圧迫を開始する
- 7. B · Give prescribed opioids and use positioning and a fan to relieve breathlessness
- 8. D · Stop the oxytocin infusion
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