1.やさしい
Which resting heart rate in an adult is bradycardia?
- A72/min
- B46/min
- C64/min
- D88/min
2.やさしい
Which pain scale is designed for infants and young children who cannot describe their pain?
- AThe FLACC scale
- BThe Braden Scale
- CThe Glasgow Coma Scale
- DThe Morse Fall Scale
3.やさしい
Which serum lithium level suggests toxicity?
- A1.0 mEq/L
- B0.8 mEq/L
- C0.7 mEq/L
- D2.2 mEq/L
4.ふつう
A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?
- AHold the next dose and report it promptly
- BAdvise the patient to use ear drops
- CReassure the patient that it is a normal effect
- DGive the next dose early to finish the course
5.ふつう
An anxious patient is breathing very fast and has tingling fingers. The blood gas shows pH 7.51 and PaCO₂ 29 mmHg (3.9 kPa). What should the nurse do first?
- AGive IV sodium bicarbonate as soon as it can be found
- BGive oxygen at the highest flow and leave the room
- CStay with the patient and coach slow, calm breathing
- DEncourage the patient to breathe even faster
6.ふつう
A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?
- A“Leave the suctioning until the next shift arrives.”
- B“Ask the patient’s family to do the suctioning today.”
- C“Suctioning a new tracheostomy is my task; I will do it myself.”
- D“Thank you, please suction him as needed and tell me how it went.”
7.むずかしい
A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?
- ADroplet precautions
- BStandard precautions only
- CContact precautions only
- DAirborne precautions
8.むずかしい
A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?
- AGiving an antipyretic tablet and waiting for it to work
- BWrapping the runner in a blanket to prevent shivering
- CRapid cooling while supporting airway and circulation
- DAsking the runner to rest in the shade and drink slowly
解答
- 1. B · 46/min
- 2. A · The FLACC scale
- 3. D · 2.2 mEq/L
- 4. A · Hold the next dose and report it promptly
- 5. C · Stay with the patient and coach slow, calm breathing
- 6. C · “Suctioning a new tracheostomy is my task; I will do it myself.”
- 7. A · Droplet precautions
- 8. C · Rapid cooling while supporting airway and circulation
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