解答つき優先順位の決定と委任ワークシート

Which patient need belongs to the love and belonging level of Maslow’s hierarchy?

1. ANeeding pain relief after surgery
2. BWanting praise for progress in rehabilitation
3. CWanting family members to visit
4. DNeeding the call light within reach

Why may a full-thickness burn feel painless at its center?

1. AThe patient has been given too much fluid
2. BThe burn only affects the thin surface layer of the skin
3. CThe burn has already fully healed
4. DThe nerve endings in the skin have been destroyed

Which resting heart rate is normal for a newborn?

1. A60/min
2. B210/min
3. C80/min
4. D140/min

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. ASlow the transfusion and recheck in an hour
2. BStop the transfusion and keep the IV open with normal saline via new tubing
3. CGive an antipyretic and continue the transfusion
4. DFinish the unit quickly through a pressure bag so that the reaction does not last long

START 法のトリアージで、歩けない成人が 1 分間に 36 回呼吸しています。どの区分になりますか？

1. A緑（軽症）
2. B黒（救命困難）
3. C黄（待機可能）
4. D赤（最優先）

Which practice makes a shift handover safest?

1. ALeaving a sticky note on the computer screen for the next nurse
2. BHanding over only the patients who had problems during the shift
3. CA structured format, such as SBAR, with time for questions
4. DA quick chat in the corridor with no notes taken

A patient arrives at the emergency department with a plan to end their life, but has normal vital signs. Which ESI level fits best?

1. ALevel 5
2. BLevel 4
3. CLevel 1
4. DLevel 2

An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?

1. AStress-induced mild hyperglycemia
2. BDiabetic ketoacidosis
3. CHypoglycemia with rebound
4. DHyperosmolar hyperglycemic state