1.やさしい
委任において、「正しい状況」とはどういう意味ですか?
- A環境と患者の状態から、委任が安全であること
- B看護師が、委任される人に明確で具体的な指示を与えること
- C看護師が、業務が終わった後に結果を確認すること
- Dその業務が、委任される人の職務記述書に明記されていること
2.やさしい
Which medication is the first-line treatment for anaphylaxis?
- AAn inhaled corticosteroid
- BAn oral antihistamine
- CIntramuscular epinephrine
- DOral paracetamol (acetaminophen)
3.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看護助手
- BRN の関与がない LPN/LVN
- C病棟事務員
- D看護師(RN)
4.ふつう
Which newborn finding needs prompt reporting?
- AJaundice that appears within the first 24 hours
- BMild jaundice that first appears on the third day
- CMilia (small white spots) on the nose
- DBluish hands and feet in the first hours
5.ふつう
A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?
- AApply a soothing cream to the rash
- BGive acetaminophen (paracetamol) and reassess in four hours
- CAdvise the family to see their doctor next week
- DTreat it as an emergency and escalate at once
6.ふつう
A patient taking clozapine reports a sore throat and fever. What is the priority action?
- AAdvise the patient to gargle with warm salt water and rest in bed
- BIncrease the dose because the symptoms suggest a relapse
- COffer throat lozenges and continue the usual dose
- DHold the dose and report so the white cell count can be checked
7.むずかしい
A patient with raised intracranial pressure is being nursed on the ward. Which position is best?
- ASitting forward with the chin on the chest
- BHead down with the legs raised above the heart
- CHead of the bed at about 30 degrees with the neck straight
- DFlat on the back with the head turned well over to one side
8.むずかしい
A patient who is 7 weeks pregnant has one-sided lower abdominal pain, pain in the shoulder tip, a heart rate of 120/min and a blood pressure of 88/54 mmHg. What is most likely?
- AA urinary tract infection
- BSevere morning sickness
- CA normal early pregnancy
- DA ruptured ectopic pregnancy
解答
- 1. A · 環境と患者の状態から、委任が安全であること
- 2. C · Intramuscular epinephrine
- 3. D · 看護師(RN)
- 4. A · Jaundice that appears within the first 24 hours
- 5. D · Treat it as an emergency and escalate at once
- 6. D · Hold the dose and report so the white cell count can be checked
- 7. C · Head of the bed at about 30 degrees with the neck straight
- 8. D · A ruptured ectopic pregnancy
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