1.やさしい
In the ABC framework, which finding is mainly a breathing problem?
- AHeart rate 150/min with a low blood pressure and cold skin
- BA blood glucose of 60 mg/dL (3.3 mmol/L)
- CShallow breaths with an SpO₂ of 85% on room air
- DStridor caused by a swollen throat
2.やさしい
Which white blood cell count suggests an infection or inflammation?
- A6,500/mm³ (6.5 × 10⁹/L)
- B8,200/mm³ (8.2 × 10⁹/L)
- C18,000/mm³ (18 × 10⁹/L)
- D7,000/mm³ (7 × 10⁹/L)
3.やさしい
What does NPO mean on a patient’s care plan?
- ANot for physical therapy
- BNormal patient observations
- CNo pain observed
- DNothing by mouth
4.ふつう
On the first day after abdominal surgery, a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?
- ARestrict oral fluids so that the lungs do not fill up with extra fluid
- BEncourage deep breathing, coughing and use of the incentive spirometer
- CGive a cough suppressant so that the incision is not strained
- DKeep the patient lying flat in bed to rest the incision fully
5.ふつう
A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?
- ARecord the weight on the chart and recheck it at the next weekly weigh-in
- BAssess the lungs, oxygen saturation and swelling, then inform the provider
- CEncourage extra fluids to correct the weight change
- DLay the patient flat to help them breathe more easily
6.ふつう
RN が LPN/LVN に委任するのに最も適切な業務はどれですか?
- A新規患者の入院時アセスメント
- B安定した患者への留置カテーテルの挿入
- Cインスリンを新しく始めた患者への退院指導
- D最初の赤血球製剤の開始
7.むずかしい
Several patients on a unit develop diarrhea within two days. What should the nurse do first?
- APlace affected patients on contact precautions and inform infection control
- BGive all patients antidiarrheal drugs without assessment
- CMove the affected patients into shared rooms with other patients to free up beds
- DWait to see if more patients become unwell
8.むずかしい
A nurse returns to the station to find four messages. Which one is answered first?
- AThe pharmacy asks when the next delivery should be scheduled
- BThe laboratory is calling with a critical potassium result of 2.6 mEq/L
- CA colleague asks to swap shifts with them next week because of a family wedding
- DA family member wants an update on their father’s progress
解答
- 1. C · Shallow breaths with an SpO₂ of 85% on room air
- 2. C · 18,000/mm³ (18 × 10⁹/L)
- 3. D · Nothing by mouth
- 4. B · Encourage deep breathing, coughing and use of the incentive spirometer
- 5. B · Assess the lungs, oxygen saturation and swelling, then inform the provider
- 6. B · 安定した患者への留置カテーテルの挿入
- 7. A · Place affected patients on contact precautions and inform infection control
- 8. B · The laboratory is calling with a critical potassium result of 2.6 mEq/L
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