1.やさしい
Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?
- APull the fire alarm
- BUse an extinguisher on the fire
- CClose doors to contain the fire and smoke
- DRescue patients in immediate danger
2.やさしい
In nursing management, what is an “assignment”?
- AA written order from a prescriber for a treatment
- BAsking a colleague to do a task outside their usual scope
- CGiving staff care activities that are within their own role and scope
- DHanding legal accountability for a patient over to a nursing colleague
3.やさしい
委任の 5 つの正しさ(5 rights)の 1 つはどれですか?
- A正しい監督と評価
- B正しい経路と注射部位
- C正しい用量と濃度
- D正しい時間と頻度
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 at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?
- ABackache after a long walk
- BNeeding to pass urine more often
- CMild ankle swelling at the end of the day
- DA severe headache with blurred vision
6.ふつう
RN が LPN/LVN に委任するのに最も適切な業務はどれですか?
- Aインスリンを新しく始めた患者への退院指導
- B最初の赤血球製剤の開始
- C新規患者の入院時アセスメント
- D安定した患者への留置カテーテルの挿入
7.むずかしい
A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?
- ALet the patient sleep, because the saturation is above target
- BGive the as-needed sedative so the patient rests comfortably
- CAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
- DIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
8.むずかしい
A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?
- ARespect the refusal, check the patient understands the risks and inform the provider
- BAsk the family to persuade the patient until they agree
- CGive the transfusion while the patient is asleep, because saving their life comes first
- DTell the patient that refusing treatment is not allowed in hospital
解答
- 1. D · Rescue patients in immediate danger
- 2. C · Giving staff care activities that are within their own role and scope
- 3. A · 正しい監督と評価
- 4. A · Keeping the drainage bag below the level of the bladder
- 5. D · A severe headache with blurred vision
- 6. D · 安定した患者への留置カテーテルの挿入
- 7. C · Assess breathing and escalate for a blood gas, as carbon dioxide may be rising
- 8. A · Respect the refusal, check the patient understands the risks and inform the provider
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