1.やさしい
In mmHg, what is the normal range for arterial PaCO₂?
- A22–26 mmHg
- B35–45 mmHg
- C7.35–7.45 mmHg
- D80–100 mmHg
2.やさしい
看護における委任を最もよく表す記述はどれですか?
- A自分の役割の範囲外だとして、業務を断る
- B患者についてのすべての責任と説明責任を、他の人に引き渡す
- C看護師が忙しくてできない業務を、医師に引き継いでもらうよう頼む
- D能力のある人に、選ばれた業務を行う権限を与え、看護師は責任を負い続ける
3.やさしい
Which capillary refill time is prolonged in an adult?
- A2 seconds
- B1 second
- C4 seconds
- DLess than 1 second
4.ふつう
A nurse teaches a patient with heart failure. Which statement shows a need for further teaching?
- A“I will take my water tablet in the morning.”
- B“I will weigh myself every morning after I use the toilet.”
- C“I will call if my weight goes up quickly over a day or two.”
- D“I add extra salt to my food so it tastes better.”
5.ふつう
がんと告げられたばかりの患者が泣いていますが、何度か嘔吐もしていて、水分を保持できません。看護師が最初に対処するのは何ですか?
- A嘔吐と水分の喪失
- B化学療法についての指導
- C病院付きの牧師への連絡
- D診断についての心理的支援
6.ふつう
A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?
- AReassure him that things usually look better in the morning after some sleep
- BAsk him to promise he will not harm himself
- CEnsure constant observation and remove anything he could use to harm himself
- DArrange a psychiatry appointment for next week
7.むずかしい
START 法のトリアージで、歩けない成人が 1 分間に 24 回呼吸し、橈骨動脈の脈を触れますが、簡単な指示に従えません。どの区分になりますか?
- A黄(待機可能)
- B緑(軽症)
- C黒(救命困難)
- D赤(最優先)
8.むずかしい
After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?
- ANormal lochia for the first hour
- BUterine atony that needs more massage
- CA full bladder pushing the uterus aside
- DA tear in the birth canal or cervix
解答
- 1. B · 35–45 mmHg
- 2. D · 能力のある人に、選ばれた業務を行う権限を与え、看護師は責任を負い続ける
- 3. C · 4 seconds
- 4. D · “I add extra salt to my food so it tastes better.”
- 5. A · 嘔吐と水分の喪失
- 6. C · Ensure constant observation and remove anything he could use to harm himself
- 7. D · 赤(最優先)
- 8. D · A tear in the birth canal or cervix
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。