1.やさしい
In delegation, what does the “right task” mean?
- AThe task is the one the nurse likes least
- BThe task is one that may be delegated for this patient
- CThe task has been requested by the patient or the patient’s family
- DThe task can be finished in under ten minutes
2.やさしい
What does a raised troponin level usually show?
- AA urinary tract infection
- BDamage to heart muscle
- CDamage to the liver
- DLow blood sugar
3.やさしい
救急の緊急度分類 ESI(Emergency Severity Index)で、レベル 1 は何を意味しますか?
- A直ちに救命のための介入が必要
- Bファストトラックのエリアで診られるほど安定している
- C2 つ以上の資源が必要
- D最も緊急度が低い患者
4.ふつう
A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?
- A“I will use my reliever inhaler and get emergency help straight away.”
- B“I will go for a short run to open up my lungs.”
- C“I will wait until tomorrow morning to see if the reading gets better on its own.”
- D“I will stop all my inhalers until the reading is back up.”
5.ふつう
A patient has a serum potassium of 2.9 mEq/L. Which finding should the nurse expect?
- AA rise in urine output and thirst only
- BFlushed, warm skin and a slow heart rate
- CMuscle weakness and U waves on the ECG
- DTall, peaked T waves and muscle twitching
6.ふつう
A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?
- AIncreasing sleepiness that is hard to rouse
- BIncreased appetite and thirst
- CA rise in blood pressure with flushed cheeks
- DA sudden rise in pain scores
7.むずかしい
A patient on airborne precautions for suspected tuberculosis must go to the radiology department. What should the patient wear during transport?
- AA fit-tested N95 respirator
- BA surgical mask
- CNothing, if the trip is short
- DGloves and a gown only
8.むずかしい
START 法のトリアージで、歩けない成人が 1 分間に 28 回呼吸し、橈骨動脈の脈を触れず、毛細血管再充満時間が 4 秒です。どの区分になりますか?
- A黒(救命困難)
- B緑(軽症)
- C呼吸数が 30 回/分未満なので、黄(待機可能)
- D赤(最優先)
解答
- 1. B · The task is one that may be delegated for this patient
- 2. B · Damage to heart muscle
- 3. A · 直ちに救命のための介入が必要
- 4. A · “I will use my reliever inhaler and get emergency help straight away.”
- 5. C · Muscle weakness and U waves on the ECG
- 6. A · Increasing sleepiness that is hard to rouse
- 7. B · A surgical mask
- 8. D · 赤(最優先)
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