1.やさしい
In which situation can a pulse oximeter give a falsely normal reading?
- AA warm, well-perfused finger
- BCarbon monoxide poisoning
- CA patient breathing room air normally
- DA healthy adult at rest
2.やさしい
What does the Braden Scale measure?
- AThe risk of developing a pressure injury
- BThe severity of alcohol withdrawal symptoms
- CThe risk of falling during a hospital stay
- DThe level of consciousness after a head injury
3.やさしい
What is the range of possible scores on the Glasgow Coma Scale?
- A0 to 15
- B1 to 20
- C3 to 15
- D0 to 10
4.ふつう
A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?
- AStop the infusion and remove the cannula
- BFlush the cannula hard to clear the blockage
- CApply a tight bandage over the site to reduce swelling
- DIncrease the infusion rate to overcome the resistance
5.ふつう
When making patient assignments, what should the charge nurse consider first?
- AMatching each patient’s needs to staff competence
- BGiving each nurse patients in rooms next to each other
- CLetting staff choose the patients they prefer
- DGiving the newest staff the most complex patients
6.ふつう
A patient has a blood pressure of 210/120 mmHg. Which finding would make this a hypertensive emergency?
- AMild anxiety about the high reading on the monitor
- BNew chest pain or confusion suggesting organ damage
- CForgetting to take the blood pressure tablet this morning
- DA history of high blood pressure for ten years
7.むずかしい
A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?
- AFat embolism syndrome
- BAn allergic reaction to the cast
- CNormal pain after a fracture
- DAlcohol withdrawal
8.むずかしい
A patient’s serum potassium is 6.1 mEq/L. Which of the patient’s medications should the nurse question first?
- AOmeprazole
- BHydrochlorothiazide
- CFurosemide
- DSpironolactone
解答
- 1. B · Carbon monoxide poisoning
- 2. A · The risk of developing a pressure injury
- 3. C · 3 to 15
- 4. A · Stop the infusion and remove the cannula
- 5. A · Matching each patient’s needs to staff competence
- 6. B · New chest pain or confusion suggesting organ damage
- 7. A · Fat embolism syndrome
- 8. D · Spironolactone
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