1.やさしい
Which task is appropriate to delegate to a nursing assistant?
- AFeeding a stable patient who has no swallowing problems
- BGiving a stable patient their oral medications
- CAssessing a pressure injury on the sacrum
- DFeeding a patient with newly diagnosed dysphagia after a stroke
2.やさしい
Which protective equipment is needed for droplet precautions?
- AA fitted N95 respirator at all times in the room
- BGloves only, with no mask
- CA lead apron and goggles
- DA surgical mask when close to the patient
3.やさしい
Which drug reverses the anticoagulant effect of heparin?
- AVitamin K
- BProtamine sulfate
- CNaloxone
- DAtropine
4.ふつう
A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?
- AOffer an iron-rich meal to replace the lost blood
- BStop the heparin infusion and inform the provider
- CGive a dose of vitamin K by mouth
- DCheck the pump rate and leave the infusion running
5.ふつう
Straight after birth, what is the first priority for a healthy-looking newborn?
- ADry and warm the baby while checking that it is breathing
- BGive the first bath to remove the blood and vernix
- CGive the vitamin K injection before anything else is done
- DWeigh and measure the baby on the scale
6.ふつう
A patient receiving chemotherapy has a temperature of 38.3 °C and a very low neutrophil count. What should the nurse do?
- AGive a cool shower and offer extra fluids, then wait and see what happens
- BRecheck the temperature in four hours before telling anyone
- CReport it at once, because cultures and antibiotics are needed quickly
- DDocument the reading and mention it at the next handover
7.むずかしい
LPN/LVN への割り当てとして最も適切なものはどれですか?
- A定時の吸入気管支拡張薬と経口薬が必要な、安定した COPD の患者
- B新たに心房細動となり、ジルチアゼムの静脈内持続投与を開始したばかりの患者
- C新たにワルファリンを開始し、退院指導が必要な患者
- D1 時間前に集中治療室から転入した患者
8.むずかしい
A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?
- AStable angina that will pass without treatment
- BIndigestion that is best treated with an antacid and a glass of milk
- CMuscle strain that needs a warm compress
- DA possible myocardial infarction that needs urgent action
解答
- 1. A · Feeding a stable patient who has no swallowing problems
- 2. D · A surgical mask when close to the patient
- 3. B · Protamine sulfate
- 4. B · Stop the heparin infusion and inform the provider
- 5. A · Dry and warm the baby while checking that it is breathing
- 6. C · Report it at once, because cultures and antibiotics are needed quickly
- 7. A · 定時の吸入気管支拡張薬と経口薬が必要な、安定した COPD の患者
- 8. D · A possible myocardial infarction that needs urgent action
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