解答つき優先順位の決定と委任ワークシート

When is the Apgar score usually assessed?

1. AAt 1 and 5 minutes after birth
2. BOnly at 24 hours after birth
3. CBefore the baby is born
4. DAt the first postnatal clinic visit

What does NPO mean on a patient’s care plan?

1. ANo pain observed
2. BNot for physical therapy
3. CNormal patient observations
4. DNothing by mouth

A patient’s platelet count is 18,000/mm³ (18 × 10⁹/L). Which risk is the nursing priority?

1. AFluid overload
2. BInfection
3. CBlood clots
4. DBleeding

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. AThe patient’s favorite television programs and hobbies
2. BThe patient’s current condition, recent changes and pending tasks
3. CDetails of the nurse’s own break times that shift
4. DPersonal opinions about the patient’s family members and their visiting habits

大量傷病者の現場での START 法のトリアージで、傷病者が、頼まれると指定された場所まで歩けます。どの区分になりますか？

1. A緑（軽症）
2. B赤（最優先）
3. C黒（救命困難）
4. D黄（待機可能）

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AStop the infusion and remove the cannula
2. BIncrease the infusion rate to overcome the resistance
3. CFlush the cannula hard to clear the blockage
4. DApply a tight bandage over the site to reduce swelling

持続的な経管栄養の最中に、患者が突然咳き込み、息苦しくなり、SpO₂ が低下しました。看護師の最初の行動は何ですか？

1. A早く終わるように、栄養の速度を上げる
2. Bチューブを水 50 mL でフラッシュして、そのまま栄養を続ける
3. C栄養を止め、患者を座位にして、呼吸をアセスメントする
4. D休めるように、患者を平らに寝かせる

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. AAn allergic reaction to the cast
2. BFat embolism syndrome
3. CAlcohol withdrawal
4. DNormal pain after a fracture