1.やさしい
Before giving a medication, how many patient identifiers should the nurse check?
- AOne, the bed number
- BOne, the room number
- CAt least two, such as name and date of birth
- DNone, if the nurse already knows the patient well
2.やさしい
A nurse is worried about a patient’s worsening condition, and the provider does not respond to the concern. Following the chain of command, whom does the nurse usually contact next?
- AThe charge nurse or nursing supervisor
- BThe hospital’s chief executive
- CThe patient’s next of kin
- DThe pharmacy technician on duty that day
3.やさしい
Why may a full-thickness burn feel painless at its center?
- AThe nerve endings in the skin have been destroyed
- BThe burn has already fully healed
- CThe patient has been given too much fluid
- DThe burn only affects the thin surface layer of the skin
4.ふつう
看護師(RN)が看護助手に「12 号室の患者さんを見てきて」と伝えました。委任の正しさのうち、欠けているのはどれですか?
- A正しい状況
- Bその業務に正しい人
- C現場に合った正しい業務
- D正しい指示とコミュニケーション
5.ふつう
A patient taking clozapine reports a sore throat and fever. What is the priority action?
- AIncrease the dose because the symptoms suggest a relapse
- BOffer throat lozenges and continue the usual dose
- CHold the dose and report so the white cell count can be checked
- DAdvise the patient to gargle with warm salt water and rest in bed
6.ふつう
A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?
- A“I will tell my dentist and other doctors that I take a steroid.”
- B“I will take the tablets with food.”
- C“I will stop the tablets as soon as I feel better.”
- D“I will report signs of infection early.”
7.むずかしい
A nurse has a needlestick injury from a used needle. What should the nurse do first?
- AFinish the shift and report it tomorrow
- BSqueeze the wound hard and suck it
- CWash the area with soap and water
- DScrub the area with bleach
8.むずかしい
看護師が 4 人の患者のケアをしています。定型的なケアとして、看護助手に安全に割り当てられるのは誰ですか?
- A手術から戻ってきて、最初の術後アセスメントが必要な患者
- B脳卒中の 5 日後で、入浴の介助が必要で、バイタルサインが安定している患者
- C血糖が 52 mg/dL(2.9 mmol/L)で、汗をかいている患者
- D1 時間前に新たに胸腔ドレーンを挿入した患者
解答
- 1. C · At least two, such as name and date of birth
- 2. A · The charge nurse or nursing supervisor
- 3. A · The nerve endings in the skin have been destroyed
- 4. D · 正しい指示とコミュニケーション
- 5. C · Hold the dose and report so the white cell count can be checked
- 6. C · “I will stop the tablets as soon as I feel better.”
- 7. C · Wash the area with soap and water
- 8. B · 脳卒中の 5 日後で、入浴の介助が必要で、バイタルサインが安定している患者
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