解答つき優先順位の決定と委任ワークシート

In mmHg, what is the normal range for arterial PaCO₂?

1. A80–100 mmHg
2. B22–26 mmHg
3. C35–45 mmHg
4. D7.35–7.45 mmHg

In mass-casualty triage, what does a yellow tag usually mean?

1. AImmediate: life-threatening injuries that are survivable with quick care
2. BMinor: the walking wounded
3. CDeceased or not expected to survive
4. DDelayed: serious injuries, but care can safely wait a little

What does a root cause analysis look for after a serious event?

1. AThe single staff member who should be blamed
2. BWhich patient made the complaint
3. CThe underlying system causes of the event
4. DHow much the event cost the hospital

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？

1. A応援を呼び、胸骨圧迫を開始する
2. B人工呼吸を 2 回行い、その後 1 分間脈拍を確認する
3. C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
4. D血圧を測定する

転倒予防の対応が必要な患者について、看護師が看護助手に委任すべき業務はどれですか？

1. A家庭での転倒予防の方法を家族に指導する
2. B計画どおり、2 時間ごとに患者をトイレに連れて行く
3. C毎朝、患者の転倒リスクスコアをアセスメントして記録する
4. Dベッドアラームがまだ必要かどうかを判断する

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AIncrease the infusion rate to overcome the resistance
2. BApply a tight bandage over the site to reduce swelling
3. CFlush the cannula hard to clear the blockage
4. DStop the infusion and remove the cannula

A child who had a tonsillectomy this morning is swallowing again and again while asleep. What should the nurse suspect?

1. AA sore throat from the breathing tube
2. BNormal swallowing during sleep
3. CBleeding from the operation site
4. DHunger after fasting for surgery

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

1. ACover the eye with a dry patch and wait for the provider
2. BFlush the eye with plenty of water or saline straight away
3. CRub the eye gently with a clean tissue to remove the chemical
4. DGive antibiotic eye drops first