1.やさしい
委任において、「正しい監督と評価」とはどういう意味ですか?
- A看護師が、委任したすべての業務を一瞬も目を離さず見守ること
- B看護師が経過を追い、必要なら介入し、結果を確認すること
- C師長が、勤務終了時に委任されたすべての業務を承認すること
- D委任された人が、あとで自分の仕事を確認し、承認すること
2.やさしい
In mmHg, what is the normal range for arterial PaCO₂?
- A80–100 mmHg
- B22–26 mmHg
- C35–45 mmHg
- D7.35–7.45 mmHg
3.やさしい
マズローの階層で、生理的欲求はどれですか?
- A家族の一員だと感じること
- B尿と便の排泄
- C他者から尊重されること
- D自宅で安心して過ごすこと
4.ふつう
A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?
- AIncrease the infusion to prevent a seizure
- BTurn the patient onto her back and recheck later
- CGive oral fluids to help clear the drug faster
- DStop the magnesium infusion and call for help
5.ふつう
A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?
- ARecheck the SpO₂ at the next routine set of observations in four hours
- BRemove the oxygen to see if the SpO₂ changes
- CReport it, because a different oxygen device is likely to be needed
- DTurn the nasal cannula up to 15 L/min
6.ふつう
A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?
- A“I will wait until tomorrow morning to see if the reading gets better on its own.”
- B“I will use my reliever inhaler and get emergency help straight away.”
- C“I will go for a short run to open up my lungs.”
- D“I will stop all my inhalers until the reading is back up.”
7.むずかしい
A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?
- ADecline, explain why and suggest who can safely do it
- BDo it, because the provider gave the instruction
- CDo it just this once and promise the provider not to do it again
- DAsk a nursing assistant to do it instead
8.むずかしい
A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?
- AKeep the legs raised above the heart as much as possible
- BWrap the legs tightly with compression bandages
- CKeep the legs level or slightly lowered, not raised
- DSit with the legs crossed to improve blood flow
解答
- 1. B · 看護師が経過を追い、必要なら介入し、結果を確認すること
- 2. C · 35–45 mmHg
- 3. B · 尿と便の排泄
- 4. D · Stop the magnesium infusion and call for help
- 5. C · Report it, because a different oxygen device is likely to be needed
- 6. B · “I will use my reliever inhaler and get emergency help straight away.”
- 7. A · Decline, explain why and suggest who can safely do it
- 8. C · Keep the legs level or slightly lowered, not raised
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