解答つき優先順位の決定と委任ワークシート

What is the normal range for arterial bicarbonate (HCO₃⁻)?

1. A80–100 mEq/L
2. B35–45 mEq/L
3. C22–26 mEq/L
4. D3.5–5.0 mEq/L

What does “scope of practice” mean?

1. AThe activities a nurse is educated, competent and legally allowed to do
2. BThe hospital areas where a nurse is allowed to work
3. CThe salary range that applies to each nursing role
4. DThe highest number of patients a nurse may care for during a single shift

For a patient with a suspected heart attack and no contraindications, which drug is usually given early?

1. ACodeine
2. BAspirin, chewed
3. CIbuprofen
4. DAcetaminophen (paracetamol)

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. AVitamin K to the mother
2. BA dose of the hepatitis B vaccine instead
3. CNo treatment is needed
4. DRh immunoglobulin within 72 hours

A nurse teaches a patient about levothyroxine. Which statement shows a need for further teaching?

1. A“I will take it on an empty stomach with a glass of water.”
2. B“I will take it at breakfast with my calcium tablet.”
3. C“I will keep taking it even when I feel well.”
4. D“I will take it at the same time each morning.”

A nurse teaches a patient with COPD pursed-lip breathing. Which statement shows a need for further teaching?

1. A“I will breathe out slowly through pursed lips.”
2. B“I will breathe in through my mouth and out quickly through my nose.”
3. C“I will make my breath out about twice as long as my breath in.”
4. D“I will breathe in slowly through my nose.”

新たに気管切開をした患者が咳き込み、ぜいぜいした呼吸をしており、SpO₂ が 86 % に低下しました。最初の行動は何ですか？

1. A気管切開部を吸引する
2. B気管切開チューブの固定紐を交換する
3. C気管支拡張薬をネブライザーで投与する
4. DSpO₂ を記録し、30 分後に再確認する

頭部外傷と下肢の骨折のある患者をモニタリングしています。優先すべき所見はどれですか？

1. A最後の鎮痛薬にもかかわらず、下肢の痛みが 6/10 である
2. Bグラスゴー・コーマ・スケールのスコアが 15 から 12 に低下した
3. C肘の小さな擦り傷
4. D患者が何か食べたいと言う