1.やさしい
Which patient concern belongs to the esteem level of Maslow’s hierarchy?
- AMissing friends from home
- BFear of slipping in the shower
- CThirst after a long period of fasting before a test
- DWorry about body image after a mastectomy
2.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
3.やさしい
Which type of stroke is the most common?
- AVenous sinus thrombosis
- BHemorrhagic stroke
- CIschemic stroke
- DSubarachnoid hemorrhage
4.ふつう
看護助手が 4 人の患者について報告します。看護師がまず注意を向けるべき報告はどれですか?
- ACOPD の患者の安静時 SpO₂ が 90 % で、普段の値と同じである
- B患者が過去 6 時間に 300 mL の尿を出した
- C腹部手術の 1 日後の患者が、新たに落ち着きがなく、心拍数が 124 回/分である
- D患者が枕をもう 1 つほしいと頼んでいる
5.ふつう
A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?
- ASit the patient upright with the legs lowered
- BLay the patient flat with the legs raised
- CApply extra blankets to keep the patient warm and calm
- DGive a warm drink and recheck the blood pressure in an hour
6.ふつう
Which patient is at the highest risk of falling?
- AA 45-year-old with asthma who is alert and independent
- BA 60-year-old admitted for chest pain that has since been ruled out by tests
- CA 30-year-old after an appendectomy who walks with steady steps
- DAn 84-year-old taking a diuretic who has fallen before and gets up at night
7.むずかしい
A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?
- AWrap the legs tightly with compression bandages
- BKeep the legs level or slightly lowered, not raised
- CSit with the legs crossed to improve blood flow
- DKeep the legs raised above the heart as much as possible
8.むずかしい
Four patients arrive at the emergency department at the same time. Who should be seen first?
- AA young adult with a swollen, painful ankle after a fall on the stairs
- BAn adult with kidney stone pain of 9/10 and stable vital signs
- CAn older adult with weakness on one side that began 40 minutes ago
- DA child with a temperature of 39 °C who is alert and drinking
解答
- 1. D · Worry about body image after a mastectomy
- 2. C · 3 to 15
- 3. C · Ischemic stroke
- 4. C · 腹部手術の 1 日後の患者が、新たに落ち着きがなく、心拍数が 124 回/分である
- 5. A · Sit the patient upright with the legs lowered
- 6. D · An 84-year-old taking a diuretic who has fallen before and gets up at night
- 7. B · Keep the legs level or slightly lowered, not raised
- 8. C · An older adult with weakness on one side that began 40 minutes ago
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