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
- 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
2.やさしい
Which finding meets the usual definition of orthostatic hypotension?
- ASystolic pressure falls by 20 mmHg or more within 3 minutes of standing
- BBlood pressure is the same lying and standing
- CSystolic pressure rises by 20 mmHg or more within 3 minutes of standing up
- DHeart rate falls by 5/min after lying down
3.やさしい
Which drug reverses the anticoagulant effect of heparin?
- AAtropine
- BProtamine sulfate
- CNaloxone
- DVitamin K
4.ふつう
Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?
- AIgnore it and hope they sort it out
- BReport them to human resources at once
- CMeet both of them privately to hear each side
- DChange both of their assignments without any discussion
5.ふつう
A nurse takes a telephone order from a provider. What must the nurse do?
- AAsk the ward clerk to take the order on the nurse’s behalf instead
- BRemember the order and write it in the chart at the end of the shift
- CWrite the order down and read it back to the provider to confirm it
- DCarry out the order first and ask the provider to confirm it later
6.ふつう
Before giving a scheduled dose of metoprolol, which assessment is most important?
- ABlood glucose and weight
- BBowel sounds and urine color
- CApical pulse and blood pressure
- DTemperature and the latest pain score
7.むずかしい
An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?
- ASweep the mouth blindly with a finger
- BGive abdominal thrusts straight away until the food comes out
- CEncourage the patient to keep coughing and stay with them
- DGive the patient water to wash the food down
8.むずかしい
救急部で、すぐに処置室へ行くべき患者はどれですか?
- A処方の再発行を求めている 45 歳の患者
- B20 分前から、胸の圧迫感、発汗、悪心がある 60 歳の患者
- C2 日間のどが痛く、体温が 38.0 °C の 30 歳の患者
- D手首を捻挫し、バイタルサインが正常な 25 歳の患者
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. A · Systolic pressure falls by 20 mmHg or more within 3 minutes of standing
- 3. B · Protamine sulfate
- 4. C · Meet both of them privately to hear each side
- 5. C · Write the order down and read it back to the provider to confirm it
- 6. C · Apical pulse and blood pressure
- 7. C · Encourage the patient to keep coughing and stay with them
- 8. B · 20 分前から、胸の圧迫感、発汗、悪心がある 60 歳の患者
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