1.やさしい
Which phrase in a question usually signals a priority question?
- A“Which action should the nurse take first?”
- B“Which term means inflammation of the liver?”
- C“Which bone is found in the forearm?”
- D“Which statement describes this drug’s class?”
2.やさしい
A medication error has just reached a patient. What is the nurse’s first action?
- AComplete an incident report before doing anything else
- BAssess the patient for any effects of the error
- CTell the nurse manager at the end of the shift
- DCorrect the entry on the medication record
3.やさしい
What is the main purpose of an incident report?
- ATo replace the nurse’s notes in the patient’s record
- BTo improve safety by finding out why events happen
- CTo decide which staff member should be punished
- DTo inform the patient’s insurance company
4.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
- BA history of high blood pressure for ten years
- CForgetting to take the blood pressure tablet this morning
- DNew chest pain or confusion suggesting organ damage
5.ふつう
A nurse needs to give report on a patient to a colleague. Which information is the most important to include?
- AThe patient’s favorite television programs and hobbies
- BDetails of the nurse’s own break times that shift
- CThe patient’s current condition, recent changes and pending tasks
- DPersonal opinions about the patient’s family members and their visiting habits
6.ふつう
A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?
- AAsk the nursing assistant to reposition the patient
- BAssess the location, character and onset of the pain and the vital signs
- CGive the strongest analgesic on the chart straight away
- DTell the patient to wait until the next scheduled dose is due in two hours
7.むずかしい
看護師が最初に対応すべき看護助手の報告はどれですか?
- A安静臥床の患者が、便器を求めている
- B肺炎の患者が黄色い痰を出した
- C今朝の腰椎固定術の後、脚の感覚がなく動かせない
- D糖尿病の患者が、いつもどおり足がよくピリピリすると言う
8.むずかしい
新たな入院に備えて、集中治療室から移すのに最も適した患者はどれですか?
- A呼吸不全で 1 時間前に挿管され、まだ鎮静中
- Bノルエピネフリンを点滴中で、今朝、用量を増やした
- C2 日前に抜管され、鼻カニューレ 2 L/分の酸素で安定し、血管作動薬の点滴がない
- D夜間に消化管出血で入院し、まだ輸血を受けている
解答
- 1. A · “Which action should the nurse take first?”
- 2. B · Assess the patient for any effects of the error
- 3. B · To improve safety by finding out why events happen
- 4. D · New chest pain or confusion suggesting organ damage
- 5. C · The patient’s current condition, recent changes and pending tasks
- 6. B · Assess the location, character and onset of the pain and the vital signs
- 7. C · 今朝の腰椎固定術の後、脚の感覚がなく動かせない
- 8. C · 2 日前に抜管され、鼻カニューレ 2 L/分の酸素で安定し、血管作動薬の点滴がない
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