解答つき優先順位の決定と委任ワークシート

How many levels does the Emergency Severity Index have?

1. AFive
2. BSix
3. CThree
4. DFour

Which protective equipment is needed for airborne precautions?

1. AA plastic apron only
2. BGloves only
3. CA simple surgical mask worn loosely
4. DA fit-tested N95 or FFP3 respirator

In mass-casualty triage, what does a yellow tag usually mean?

1. ADeceased or not expected to survive
2. BMinor: the walking wounded
3. CDelayed: serious injuries, but care can safely wait a little
4. DImmediate: life-threatening injuries that are survivable with quick care

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“I will tell the nurse if she becomes very sleepy or hard to wake.”
2. B“Only she should press the button when she needs pain relief.”
3. C“I will press the button for her while she is asleep so she stays comfortable.”
4. D“The pump has limits set by the nurse so she cannot get too much at once.”

デイルームで食事をしていた成人の患者が、突然のどをつかみ、話すことも、呼吸することも、咳をすることもできません。看護師が最初にすることは何ですか？

1. A食べ物を流し込むために、コップ 1 杯の水を与える
2. B応援を呼び、背部叩打と腹部突き上げを行う
3. C患者が咳で出せるかどうか様子を見る
4. D口の中を指で盲目的にかき出す

On a pediatric unit, which child does the nurse assess first?

1. AA child with a temperature of 38.2 °C after vaccination
2. BA child with croup who has a barking cough but no stridor at rest
3. CA child in a new arm cast with pink, warm fingers and pain of 5/10
4. DA child with asthma who is now quiet with very little air movement

看護師が最初に対応すべき看護助手の報告はどれですか？

1. A肺炎の患者が黄色い痰を出した
2. B安静臥床の患者が、便器を求めている
3. C今朝の腰椎固定術の後、脚の感覚がなく動かせない
4. D糖尿病の患者が、いつもどおり足がよくピリピリすると言う

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. ASay nothing, because it is not their business
2. BReport it to the nurse manager according to policy
3. CAsk the colleague to share the vial with them
4. DTell the patients to watch the colleague carefully