1.やさしい
大量傷病者のトリアージで、黒のタグは何を意味しますか?
- A何時間も待てる軽傷
- B死亡、または利用可能な資源では救命の見込みが低い
- Cすべての被災者の中で最も高い治療の優先度
- D汚染されており、処置の前に完全な除染が必要
2.やさしい
Which platelet count is within the normal adult range?
- A250,000/mm³ (250 × 10⁹/L)
- B700,000/mm³ (700 × 10⁹/L)
- C40,000/mm³ (40 × 10⁹/L)
- D90,000/mm³ (90 × 10⁹/L)
3.やさしい
准看護師(LPN/LVN)ではなく看護師(RN)に属する指導活動はどれですか?
- A患者に、インセンティブ・スパイロメーターを 1 時間ごとに使うよう促すこと
- B新しい診断とその治療についての最初の指導
- CRN がすでに説明したパンフレットを配ること
- DRN がすでに行った指導の補強
4.ふつう
A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?
- APlace the end of the tube in a bottle of sterile water
- BWait for the provider to arrive before doing anything else
- CClamp the tube for the rest of the shift
- DRemove the tube and cover the site
5.ふつう
A patient with type 1 diabetes has vomited since morning and cannot eat. Which action is most important?
- AStop all insulin until the patient is able to eat normally again
- BCheck the blood glucose and ketones and contact the provider
- CEncourage a large meal to settle the stomach
- DWait until tomorrow to see if the vomiting settles
6.ふつう
A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?
- AA rise in blood pressure with flushed cheeks
- BIncreasing sleepiness that is hard to rouse
- CA sudden rise in pain scores
- DIncreased appetite and thirst
7.むずかしい
Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?
- ADehydration from drinking too much
- BRejection of the transplant
- CNormal healing of the transplant
- DA side effect of eating salty food
8.むずかしい
At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?
- ALeave on time, because the shift has officially ended
- BAsk a nursing assistant to watch the patients until someone comes
- CLeave a written note at the station and go home
- DStay and tell the charge nurse, and hand over before leaving
解答
- 1. B · 死亡、または利用可能な資源では救命の見込みが低い
- 2. A · 250,000/mm³ (250 × 10⁹/L)
- 3. B · 新しい診断とその治療についての最初の指導
- 4. A · Place the end of the tube in a bottle of sterile water
- 5. B · Check the blood glucose and ketones and contact the provider
- 6. B · Increasing sleepiness that is hard to rouse
- 7. B · Rejection of the transplant
- 8. D · Stay and tell the charge nurse, and hand over before leaving
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。