1.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
- BRN がすでに行った指導の補強
- C新しい診断とその治療についての最初の指導
- DRN がすでに説明したパンフレットを配ること
2.やさしい
Which white blood cell count suggests an infection or inflammation?
- A8,200/mm³ (8.2 × 10⁹/L)
- B6,500/mm³ (6.5 × 10⁹/L)
- C18,000/mm³ (18 × 10⁹/L)
- D7,000/mm³ (7 × 10⁹/L)
3.やさしい
When taking off protective equipment, which item is usually removed first?
- AGloves
- BMask
- CGoggles
- DGown
4.ふつう
予定された薬のうち、最も時間が重要なものはどれですか?
- A朝食のトレーが届いたときに投与予定の、速効型インスリン
- B朝食とともに投与予定の、毎日の便軟化薬
- C午前 8 時の朝食とともに投与予定の、毎日のコレステロール低下薬(スタチン)
- D午前 8 時に投与予定の、毎日のマルチビタミン錠
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?
- AAdvise the family to see their doctor next week
- BGive acetaminophen (paracetamol) and reassess in four hours
- CApply a soothing cream to the rash
- DTreat it as an emergency and escalate at once
6.ふつう
A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?
- A“Ask the patient’s family to do the suctioning today.”
- B“Thank you, please suction him as needed and tell me how it went.”
- C“Leave the suctioning until the next shift arrives.”
- D“Suctioning a new tracheostomy is my task; I will do it myself.”
7.むずかしい
Which assignment by the charge nurse should be changed?
- AAn LPN/LVN is assigned to admit a new patient from the emergency department
- BAn LPN/LVN is assigned to give oral medications to stable patients
- CAn RN is assigned to a patient receiving a blood transfusion
- DA nursing assistant is assigned to help several stable patients with their meals
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?
- AA tear in the birth canal or cervix
- BNormal lochia for the first hour
- CUterine atony that needs more massage
- DA full bladder pushing the uterus aside
解答
- 1. C · 新しい診断とその治療についての最初の指導
- 2. C · 18,000/mm³ (18 × 10⁹/L)
- 3. A · Gloves
- 4. A · 朝食のトレーが届いたときに投与予定の、速効型インスリン
- 5. D · Treat it as an emergency and escalate at once
- 6. D · “Suctioning a new tracheostomy is my task; I will do it myself.”
- 7. A · An LPN/LVN is assigned to admit a new patient from the emergency department
- 8. A · A tear in the birth canal or cervix
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