解答つき優先順位の決定と委任ワークシート

In the FAST stroke check, what does the T stand for?

1. ATongue movement
2. BTime to call emergency services
3. CTemperature
4. DTremor of the hands

優先順位の問題で「最初に」何をするかを問われたとき、何を求められていますか？

1. A看護師が典型的な勤務中に最も頻繁に行う行動
2. B唯一の正しい選択肢で、ほかは間違っているもの
3. C完了するのに最も時間がかかる行動
4. Dすべてが正しくても、ほかより先に来るステップ

Which pain scale is designed for infants and young children who cannot describe their pain?

1. AThe Braden Scale
2. BThe Morse Fall Scale
3. CThe FLACC scale
4. DThe Glasgow Coma Scale

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
2. Bベッドアラームがまだ必要かどうかを判断する
3. C計画どおり、2 時間ごとに患者をトイレに連れて行く
4. D家庭での転倒予防の方法を家族に指導する

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will put up no-smoking signs at the front door and in my room.”
2. B“My husband can smoke in my room if the window is open.”
3. C“I will keep the oxygen away from the gas stove.”
4. D“I will not use oil-based creams on my face.”

A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?

1. AThe tube is flushed with a large volume of water
2. BThe patient is asked if the tube feels comfortable
3. CPlacement is confirmed by an approved method
4. DThe feed is started slowly to see if the patient coughs

A visitor on the ward becomes threatening and shows a knife. What is the nurse’s priority?

1. ATry to take the knife away from the visitor straight away before anyone is hurt
2. BIgnore the visitor and carry on with patient care
3. CArgue with the visitor to persuade them to leave
4. DMove away to safety, keep others away and call security or the police

A patient is going home on a new oral anticoagulant. There is only a short time for teaching. Which topic is most important?

1. AHow to choose comfortable walking shoes
2. BHow to cook low-fat meals
3. CSigns of bleeding and when to seek help
4. DWhich television programs help with relaxation