1.やさしい
Which patient need belongs to the love and belonging level of Maslow’s hierarchy?
- ANeeding the call light within reach
- BWanting praise for progress in rehabilitation
- CWanting family members to visit
- DNeeding pain relief after surgery
2.やさしい
What is a “critical value” in laboratory testing?
- AA result that may be life-threatening and must be reported at once
- BA result that the patient has asked to see
- CA result that is needed only for research
- DA result that is slightly outside the normal range and can wait for the ward round
3.やさしい
Which task is appropriate to delegate to a nursing assistant?
- AAssessing a pressure injury on the sacrum
- BGiving a stable patient their oral medications
- CFeeding a patient with newly diagnosed dysphagia after a stroke
- DFeeding a stable patient who has no swallowing problems
4.ふつう
委任における説明責任を正しく理解している発言はどれですか?
- A「委任するという判断と、結果のフォローアップについては、私に説明責任が残ります。」
- B「委任してよい業務だったかどうかについては、看護助手に説明責任があります。」
- C「業務を委任したら、もう私の関心事ではありません。」
- D「業務がうまくいかなかったら、責任があるのは助手だけです。」
5.ふつう
Which action helps prevent a catheter-associated urinary tract infection?
- ARaising the drainage bag above the bladder when walking
- BLeaving the catheter in place longer than needed
- CKeeping the drainage bag below the level of the bladder
- DDisconnecting the bag every shift to empty it
6.ふつう
看護助手が 4 人の患者について報告します。看護師がまず注意を向けるべき報告はどれですか?
- A患者が過去 6 時間に 300 mL の尿を出した
- B腹部手術の 1 日後の患者が、新たに落ち着きがなく、心拍数が 124 回/分である
- C患者が枕をもう 1 つほしいと頼んでいる
- DCOPD の患者の安静時 SpO₂ が 90 % で、普段の値と同じである
7.むずかしい
A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?
- AAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
- BIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
- CGive the as-needed sedative so the patient rests comfortably
- DLet the patient sleep, because the saturation is above target
8.むずかしい
A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?
- AAsk the colleague to share the vial with them
- BReport it to the nurse manager according to policy
- CTell the patients to watch the colleague carefully
- DSay nothing, because it is not their business
解答
- 1. C · Wanting family members to visit
- 2. A · A result that may be life-threatening and must be reported at once
- 3. D · Feeding a stable patient who has no swallowing problems
- 4. A · 「委任するという判断と、結果のフォローアップについては、私に説明責任が残ります。」
- 5. C · Keeping the drainage bag below the level of the bladder
- 6. B · 腹部手術の 1 日後の患者が、新たに落ち着きがなく、心拍数が 124 回/分である
- 7. A · Assess breathing and escalate for a blood gas, as carbon dioxide may be rising
- 8. B · Report it to the nurse manager according to policy
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