1.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 hospital’s chief executive
- BThe pharmacy technician on duty that day
- CThe charge nurse or nursing supervisor
- DThe patient’s next of kin
2.やさしい
成人の心停止で、現在の一次救命処置はどの順序を用いますか?
- AA-C-B:気道、圧迫、呼吸
- BC-A-B:胸骨圧迫、気道、呼吸
- CB-C-A:呼吸、循環、気道
- DA-B-C:気道、呼吸、循環
3.やさしい
Which patient usually fits ESI level 5?
- AA stable adult who needs blood tests and an X-ray of the chest
- BA stable adult who only needs a repeat prescription
- CAn adult in cardiac arrest
- DAn adult with chest pain suggesting a heart attack
4.ふつう
Which action helps prevent a catheter-associated urinary tract infection?
- AKeeping the drainage bag below the level of the bladder
- BDisconnecting the bag every shift to empty it
- CRaising the drainage bag above the bladder when walking
- DLeaving the catheter in place longer than needed
5.ふつう
A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?
- AApply physical restraints at once
- BTurn away and ignore the behavior
- CStand very close to him and tell him firmly and loudly to sit down and be quiet
- DSpeak calmly, keep a safe distance and invite him to talk about what is wrong
6.ふつう
A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?
- ACall emergency services now and note the time it started
- BLet him lie down and see if it improves
- CBook an appointment with his doctor next week
- DDrive him to the hospital yourself after he has eaten dinner
7.むずかしい
A patient has a potassium of 7.0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?
- AOral sodium bicarbonate
- BOral potassium binder
- CIV furosemide
- DIV calcium gluconate
8.むずかしい
An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?
- AStop the LPN/LVN and contact the prescriber or pharmacist about another form
- BReport the LPN/LVN at the end of the month without saying anything now
- CTell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime
- DLet the LPN/LVN continue, since crushing makes the tablet easier to swallow
解答
- 1. C · The charge nurse or nursing supervisor
- 2. B · C-A-B:胸骨圧迫、気道、呼吸
- 3. B · A stable adult who only needs a repeat prescription
- 4. A · Keeping the drainage bag below the level of the bladder
- 5. D · Speak calmly, keep a safe distance and invite him to talk about what is wrong
- 6. A · Call emergency services now and note the time it started
- 7. D · IV calcium gluconate
- 8. A · Stop the LPN/LVN and contact the prescriber or pharmacist about another form
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