1.やさしい
Which platelet count is within the normal adult range?
- A250,000/mm³ (250 × 10⁹/L)
- B700,000/mm³ (700 × 10⁹/L)
- C90,000/mm³ (90 × 10⁹/L)
- D40,000/mm³ (40 × 10⁹/L)
2.やさしい
Which task is appropriate to delegate to a nursing assistant for an immobile but stable patient?
- AChoosing which wound dressing to use
- BTurning and repositioning the patient every 2 hours
- CPlanning the patient’s skin care
- DDeciding whether a pressure injury has got worse since yesterday
3.やさしい
Does asking a patient directly about suicidal thoughts increase their risk?
- AYes; asking about it may give the patient the idea
- BOnly if the patient is over 65 years old
- CNo; asking directly is safe and helps assess the risk
- DOnly when the question is asked in writing
4.ふつう
A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?
- ATell the patient this is a common, harmless effect
- BGive the next dose of lisinopril with water
- CApply a cold pack and recheck in an hour
- DAssess the airway and call for urgent help
5.ふつう
A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?
- A“I will not leave my insulin in a hot car.”
- B“I will keep unopened insulin in the fridge.”
- C“I will keep my spare insulin in the freezer so it lasts longer.”
- D“I will check the expiry date on the label before I use the vial.”
6.ふつう
Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?
- AMild bruising around the fracture site on the second day
- BItching under the cast during the first week after it was applied
- CPain out of proportion to the injury that worsens when the toes are stretched
- DA strong pedal pulse with warm, pink toes and pain that settles with analgesia
7.むずかしい
Which finding after a laparoscopic cholecystectomy is expected and needs only reassurance and comfort measures?
- AIncreasing abdominal pain with a temperature of 39 °C
- BA heart rate of 125/min with a falling blood pressure
- CYellow skin with dark urine on the second day
- DRight shoulder pain from the gas used during surgery
8.むずかしい
A patient opens their eyes only to pain, uses inappropriate words and withdraws from pain. What is the Glasgow Coma Scale score?
- A13
- B7
- C9
- D11
解答
- 1. A · 250,000/mm³ (250 × 10⁹/L)
- 2. B · Turning and repositioning the patient every 2 hours
- 3. C · No; asking directly is safe and helps assess the risk
- 4. D · Assess the airway and call for urgent help
- 5. C · “I will keep my spare insulin in the freezer so it lasts longer.”
- 6. C · Pain out of proportion to the injury that worsens when the toes are stretched
- 7. D · Right shoulder pain from the gas used during surgery
- 8. C · 9
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。