1.やさしい
Which task is appropriate to delegate to a nursing assistant?
- AFeeding a patient with newly diagnosed dysphagia after a stroke
- BAssessing a pressure injury on the sacrum
- CFeeding a stable patient who has no swallowing problems
- DGiving a stable patient their oral medications
2.やさしい
What is a transient ischemic attack (TIA)?
- AA type of migraine with no link to stroke
- BA stroke that leaves permanent weakness or paralysis on one side of the body
- CBrief stroke-like symptoms that resolve, warning of a possible stroke
- DA heart attack that affects the brain
3.やさしい
In a three-level triage system, what does “urgent” mean?
- AMinor, and can safely wait for several hours
- BSerious but stable for now, and needs care soon
- CAlready deceased on arrival
- DLife-threatening and needs care immediately
4.ふつう
看護助手への指示として、最も明確なものはどれですか?
- A「今朝はリーさんに気をつけて、様子を教えてください。」
- B「部屋に入ったときに何か変だと感じたら、教えてください。」
- C「昼食までのどこかで、リーさんのバイタルサインを測って、私のために記録に書いておいてください。」
- D「10 時にリーさんの血圧を測って、収縮期血圧が 100 未満なら、すぐに知らせてください。」
5.ふつう
A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?
- A“Only she should press the button when she needs pain relief.”
- B“The pump has limits set by the nurse so she cannot get too much at once.”
- C“I will tell the nurse if she becomes very sleepy or hard to wake.”
- D“I will press the button for her while she is asleep so she stays comfortable.”
6.ふつう
A patient is in skeletal traction. Which finding needs the nurse to act?
- AThe weights are resting on the floor
- BThe ropes are in the pulleys
- CThe patient’s body is in line with the traction
- DThe weights are hanging freely
7.むずかしい
A patient is deteriorating quickly. The nurse has called the provider twice, but the provider has not come. What is the best action?
- ADocument the concern and continue routine care
- BActivate the rapid response team
- CAsk the patient’s family to call the provider
- DWait another hour and call the provider again
8.むずかしい
A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?
- ARapid cooling while supporting airway and circulation
- BGiving an antipyretic tablet and waiting for it to work
- CAsking the runner to rest in the shade and drink slowly
- DWrapping the runner in a blanket to prevent shivering
解答
- 1. C · Feeding a stable patient who has no swallowing problems
- 2. C · Brief stroke-like symptoms that resolve, warning of a possible stroke
- 3. B · Serious but stable for now, and needs care soon
- 4. D · 「10 時にリーさんの血圧を測って、収縮期血圧が 100 未満なら、すぐに知らせてください。」
- 5. D · “I will press the button for her while she is asleep so she stays comfortable.”
- 6. A · The weights are resting on the floor
- 7. B · Activate the rapid response team
- 8. A · Rapid cooling while supporting airway and circulation
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