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

What does the Braden Scale measure?

  1. AThe risk of falling during a hospital stay
  2. BThe severity of alcohol withdrawal symptoms
  3. CThe level of consciousness after a head injury
  4. DThe risk of developing a pressure injury
2.やさしい

Which capillary refill time is prolonged in an adult?

  1. A1 second
  2. BLess than 1 second
  3. C2 seconds
  4. D4 seconds
3.やさしい

Which of these is one of the standard “rights” of medication administration?

  1. ARight brand
  2. BRight ward
  3. CRight patient
  4. DRight colleague
4.ふつう

An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7.51 and PaCO₂ 29 mmHg (3.9 kPa). What should the nurse do first?

  1. AEncourage the patient to breathe even faster
  2. BStay with the patient and coach slow, calm breathing
  3. CGive oxygen at the highest flow and leave the room
  4. DGive IV sodium bicarbonate as soon as it can be found
5.ふつう

On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?

  1. AA new admission transferred from the labor ward with a fever of 38.6 °C
  2. BDay 1 after an uncomplicated vaginal birth, stable vital signs
  3. CSevere pre-eclampsia on a magnesium sulfate infusion
  4. DOne hour after birth with heavy bleeding and a boggy uterus
6.ふつう

Which medication order should the nurse question?

  1. APotassium chloride by IV push
  2. BPotassium chloride oral solution diluted in juice
  3. CPotassium chloride diluted in an IV bag via a pump
  4. DOral potassium chloride with food
7.むずかしい

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

  1. AReassure her that this is normal “baby blues”
  2. BAdvise more sleep and book a routine follow-up visit for next month
  3. CLeave her alone with the baby to bond
  4. DKeep the mother and baby safe and arrange urgent psychiatric care
8.むずかしい

A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?

  1. AKeep the legs raised above the heart as much as possible
  2. BKeep the legs level or slightly lowered, not raised
  3. CSit with the legs crossed to improve blood flow
  4. DWrap the legs tightly with compression bandages

解答

  1. 1. D · The risk of developing a pressure injury
  2. 2. D · 4 seconds
  3. 3. C · Right patient
  4. 4. B · Stay with the patient and coach slow, calm breathing
  5. 5. B · Day 1 after an uncomplicated vaginal birth, stable vital signs
  6. 6. A · Potassium chloride by IV push
  7. 7. D · Keep the mother and baby safe and arrange urgent psychiatric care
  8. 8. B · Keep the legs level or slightly lowered, not raised

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