1.やさしい
Who is responsible for developing the nursing plan of care?
- AThe registered nurse
- BThe LPN/LVN alone
- CThe nursing assistant
- DThe ward clerk
2.やさしい
ほとんどの現場で、救急部の新規来院者のトリアージを行うのは誰ですか?
- A病棟事務員
- BRN の関与がない LPN/LVN
- C看護助手
- D看護師(RN)
3.やさしい
What is the main purpose of a rapid response team?
- ATo review medication errors and falls after they have happened on the unit
- BTo transport stable patients between hospital units
- CTo assess and treat a deteriorating patient before an arrest happens
- DTo handle complaints from patients and families
4.ふつう
A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?
- A“I will keep unopened insulin in the fridge.”
- B“I will check the expiry date on the label before I use the vial.”
- C“I will not leave my insulin in a hot car.”
- D“I will keep my spare insulin in the freezer so it lasts longer.”
5.ふつう
An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?
- ANo treatment is needed
- BVitamin K to the mother
- CA dose of the hepatitis B vaccine instead
- DRh immunoglobulin within 72 hours
6.ふつう
デイルームで食事をしていた成人の患者が、突然のどをつかみ、話すことも、呼吸することも、咳をすることもできません。看護師が最初にすることは何ですか?
- A口の中を指で盲目的にかき出す
- B食べ物を流し込むために、コップ 1 杯の水を与える
- C患者が咳で出せるかどうか様子を見る
- D応援を呼び、背部叩打と腹部突き上げを行う
7.むずかしい
A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?
- AEncourage the patient to walk to ease the back pain
- BPalpate the mass firmly to check its size and spread
- CCall for emergency help at once and prepare for urgent surgery
- DGive an oral analgesic and reassess the patient in about one hour
8.むずかしい
After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?
- AUterine atony that needs more massage
- BA full bladder pushing the uterus aside
- CNormal lochia for the first hour
- DA tear in the birth canal or cervix
解答
- 1. A · The registered nurse
- 2. D · 看護師(RN)
- 3. C · To assess and treat a deteriorating patient before an arrest happens
- 4. D · “I will keep my spare insulin in the freezer so it lasts longer.”
- 5. D · Rh immunoglobulin within 72 hours
- 6. D · 応援を呼び、背部叩打と腹部突き上げを行う
- 7. C · Call for emergency help at once and prepare for urgent surgery
- 8. D · A tear in the birth canal or cervix
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