1.やさしい
Which drug reverses the anticoagulant effect of heparin?
- AProtamine sulfate
- BNaloxone
- CAtropine
- DVitamin K
2.やさしい
委任において、「正しい監督と評価」とはどういう意味ですか?
- A委任された人が、あとで自分の仕事を確認し、承認すること
- B師長が、勤務終了時に委任されたすべての業務を承認すること
- C看護師が、委任したすべての業務を一瞬も目を離さず見守ること
- D看護師が経過を追い、必要なら介入し、結果を確認すること
3.やさしい
What does a raised troponin level usually show?
- ADamage to the liver
- BLow blood sugar
- CA urinary tract infection
- DDamage to heart muscle
4.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
- BRh immunoglobulin within 72 hours
- CA dose of the hepatitis B vaccine instead
- DVitamin K to the mother
5.ふつう
On the first day after abdominal surgery, a patient has a temperature of 37.9 °C and reduced breath sounds at the lung bases. Which nursing action is most helpful?
- AEncourage deep breathing, coughing and use of the incentive spirometer
- BKeep the patient lying flat in bed to rest the incision fully
- CRestrict oral fluids so that the lungs do not fill up with extra fluid
- DGive a cough suppressant so that the incision is not strained
6.ふつう
A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?
- AReassure him that things usually look better in the morning after some sleep
- BArrange a psychiatry appointment for next week
- CAsk him to promise he will not harm himself
- DEnsure constant observation and remove anything he could use to harm himself
7.むずかしい
A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?
- ADo it, because the provider gave the instruction
- BDecline, explain why and suggest who can safely do it
- CAsk a nursing assistant to do it instead
- DDo it just this once and promise the provider not to do it again
8.むずかしい
A patient has a new spinal cord injury at C4. Which assessment is the priority?
- AAbility to feed themselves
- BBowel sounds in all four abdominal quadrants
- CBreathing effort and ability to cough
- DSkin over the sacrum and heels
解答
- 1. A · Protamine sulfate
- 2. D · 看護師が経過を追い、必要なら介入し、結果を確認すること
- 3. D · Damage to heart muscle
- 4. B · Rh immunoglobulin within 72 hours
- 5. A · Encourage deep breathing, coughing and use of the incentive spirometer
- 6. D · Ensure constant observation and remove anything he could use to harm himself
- 7. B · Decline, explain why and suggest who can safely do it
- 8. C · Breathing effort and ability to cough
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