1.やさしい
What does a root cause analysis look for after a serious event?
- AThe single staff member who should be blamed
- BWhich patient made the complaint
- CThe underlying system causes of the event
- DHow much the event cost the hospital
2.やさしい
In mmHg, what is the normal range for arterial PaCO₂?
- A7.35–7.45 mmHg
- B80–100 mmHg
- C35–45 mmHg
- D22–26 mmHg
3.やさしい
3 段階のトリアージ分類で、「緊急」にあたる患者はどれですか?
- Aバイタルサインが正常な、2 日間の腹痛
- B発汗と息切れを伴う胸痛
- C処方の再発行の依頼
- D発熱のない、3 日間の発疹
4.ふつう
A patient taking clozapine reports a sore throat and fever. What is the priority action?
- AOffer throat lozenges and continue the usual dose
- BIncrease the dose because the symptoms suggest a relapse
- CAdvise the patient to gargle with warm salt water and rest in bed
- DHold the dose and report so the white cell count can be checked
5.ふつう
Before giving a scheduled dose of metoprolol, which assessment is most important?
- ATemperature and the latest pain score
- BBowel sounds and urine color
- CBlood glucose and weight
- DApical pulse and blood pressure
6.ふつう
A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?
- A“I may get a headache after taking a tablet.”
- B“I will sit down before I take a tablet.”
- C“I will swallow the tablet with a glass of water.”
- D“I will keep the tablets in their original dark container.”
7.むずかしい
After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?
- ANormal lochia for the first hour
- BA full bladder pushing the uterus aside
- CA tear in the birth canal or cervix
- DUterine atony that needs more massage
8.むずかしい
看護師が最初に診るべき子どもはどれですか?
- A鼻翼呼吸、陥没呼吸があり、SpO₂ が 89 % の RS ウイルス感染症の乳児
- Bピークフローが自己最良値の 90 % の、喘息の 10 代の若者
- C体温が 38.4 °C だが、おもちゃで遊んでいる幼児
- D下肢にギプスをつけていて、飲み物を求めている学童
解答
- 1. C · The underlying system causes of the event
- 2. C · 35–45 mmHg
- 3. B · 発汗と息切れを伴う胸痛
- 4. D · Hold the dose and report so the white cell count can be checked
- 5. D · Apical pulse and blood pressure
- 6. C · “I will swallow the tablet with a glass of water.”
- 7. C · A tear in the birth canal or cervix
- 8. A · 鼻翼呼吸、陥没呼吸があり、SpO₂ が 89 % の RS ウイルス感染症の乳児
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