解答つき優先順位の決定と委任ワークシート

In delegation, what does the “right task” mean?

1. AThe task can be finished in under ten minutes
2. BThe task is one that may be delegated for this patient
3. CThe task is the one the nurse likes least
4. DThe task has been requested by the patient or the patient’s family

In the AVPU scale, what does the P mean?

1. APain score below 5
2. BPupils equal and reactive
3. CPulse present and regular
4. DResponds only to pain

Which serum potassium result should the nurse report to the provider promptly?

1. A3.8 mEq/L (3.8 mmol/L)
2. B6.4 mEq/L (6.4 mmol/L)
3. C4.2 mEq/L (4.2 mmol/L)
4. D4.9 mEq/L (4.9 mmol/L)

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. ALeave the patient for a few minutes to find the relatives and explain what is happening
2. BStay with the patient, give oxygen as prescribed and have recent vital signs ready
3. CGive a dose of every as-needed medication on the chart
4. DGo to the station to finish documentation for other patients

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?

1. A“I will go for a short run to open up my lungs.”
2. B“I will wait until tomorrow morning to see if the reading gets better on its own.”
3. C“I will stop all my inhalers until the reading is back up.”
4. D“I will use my reliever inhaler and get emergency help straight away.”

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. ARelieve pressure on the area by changing position regularly
2. BMassage the area firmly to improve the blood flow to the skin
3. CKeep the patient lying on the back to protect the area
4. DApply a heat pad to the area to increase circulation

看護助手が、患者のモルヒネの初回投与の 15 分後にバイタルサインを測定しました。呼吸数は 10 回/分で、患者は起こしにくいと報告します。看護師はどうすべきですか？

1. A所見を記録し、次の定時ラウンドで医療者に伝える
2. B患者を診に行く前に、医療者に電話して指示をもらう
3. Cすぐに行き、患者を覚醒させ、呼吸を補助し、指示に従ってナロキソンを準備する
4. D15 分後に呼吸数を再測定して報告するよう、助手に頼む

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. AWitness it quickly before the sedative takes full effect
2. BAsk a family member to sign on the patient’s behalf
3. CNot witness the consent and inform the surgeon
4. DWitness it and write “sedated” beside the signature