1.やさしい
Which white blood cell count suggests an infection or inflammation?
- A7,000/mm³ (7 × 10⁹/L)
- B6,500/mm³ (6.5 × 10⁹/L)
- C18,000/mm³ (18 × 10⁹/L)
- D8,200/mm³ (8.2 × 10⁹/L)
2.やさしい
委任において、「正しい指示とコミュニケーション」とはどういう意味ですか?
- A何を、いつ行い、何を報告するかについての、明確で具体的な指示
- B委任される人に、異常な所見を勤務終了時に報告するよう求めること
- C業務を患者の記録にだけ書くこと
- D委任される人に、自分で判断するよう伝えること
3.やさしい
In the AVPU scale, what does the P mean?
- APain score below 5
- BPupils equal and reactive
- CResponds only to pain
- DPulse present and regular
4.ふつう
A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?
- AGive the next dose early to finish the course
- BHold the next dose and report it promptly
- CAdvise the patient to use ear drops
- DReassure the patient that it is a normal effect
5.ふつう
Which patient should the RN see first after receiving a report from the night nurse?
- ADay 2 after bowel surgery, asking to start a soft diet
- BDay 3 after bowel surgery, wants a shower and hair wash before breakfast
- CDay 4 after bowel surgery, waiting for discharge teaching
- DDay 1 after bowel surgery, new chest pain and heart rate 110/min
6.ふつう
A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?
- A“Increase the rate a little so the alarm clears.”
- B“I will come and check the pump and the IV site now.”
- C“Turn the pump off and on again until it stops.”
- D“Silence the alarm and I will check it at the end of the shift.”
7.むずかしい
During an infusion of a thrombolytic drug for stroke, the patient develops a severe headache and starts vomiting. What should the nurse do first?
- AStop the infusion and inform the provider at once
- BGive a dose of aspirin for the headache
- CSlow the infusion and give an antiemetic as prescribed
- DContinue the infusion, because headache is expected
8.むずかしい
A patient arrives one hour after the start of stroke symptoms. Which step must happen before a thrombolytic drug can be given?
- AA brain scan to rule out bleeding
- BA full lipid profile to check cholesterol
- CAn echocardiogram to look for clots
- DA swallow test with a cup of water
解答
- 1. C · 18,000/mm³ (18 × 10⁹/L)
- 2. A · 何を、いつ行い、何を報告するかについての、明確で具体的な指示
- 3. C · Responds only to pain
- 4. B · Hold the next dose and report it promptly
- 5. D · Day 1 after bowel surgery, new chest pain and heart rate 110/min
- 6. B · “I will come and check the pump and the IV site now.”
- 7. A · Stop the infusion and inform the provider at once
- 8. A · A brain scan to rule out bleeding
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。