1.やさしい
Which white blood cell count suggests an infection or inflammation?
- A8,200/mm³ (8.2 × 10⁹/L)
- B7,000/mm³ (7 × 10⁹/L)
- C6,500/mm³ (6.5 × 10⁹/L)
- D18,000/mm³ (18 × 10⁹/L)
2.やさしい
大量傷病者のトリアージで、赤のタグは通常何を意味しますか?
- A救命困難:処置をしても生存の見込みが低い、またはすでに死亡している
- B最優先(即時):生命に関わるが、速やかな処置で救命可能
- C軽症:歩行可能で、安全に待てる
- D待機可能(遅延):重傷だが、当面は安定している
3.やさしい
What is a transient ischemic attack (TIA)?
- AA heart attack that affects the brain
- BBrief stroke-like symptoms that resolve, warning of a possible stroke
- CA type of migraine with no link to stroke
- DA stroke that leaves permanent weakness or paralysis on one side of the body
4.ふつう
A patient has heart failure. Which instruction about daily weights is best to give the nursing assistant?
- A“Weigh him after lunch, fully dressed, with his shoes on.”
- B“Only weigh him if his ankles look more swollen than they did yesterday afternoon.”
- C“Weigh him each morning before breakfast, on the same scale, and tell me the result.”
- D“Weigh him at any time today, on whichever scale is free.”
5.ふつう
On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?
- AGive the next dose of oral analgesia and reassess the patient in an hour
- BRaise the head of the bed, give oxygen and call for urgent help
- CEncourage the patient to walk to improve the circulation
- DMassage the patient’s calves to ease any muscle cramp
6.ふつう
A nurse needs to give report on a patient to a colleague. Which information is the most important to include?
- APersonal opinions about the patient’s family members and their visiting habits
- BThe patient’s current condition, recent changes and pending tasks
- CThe patient’s favorite television programs and hobbies
- DDetails of the nurse’s own break times that shift
7.むずかしい
看護師が、予定されている退院に疑問を呈すべき患者はどれですか?
- A肺炎で、経口抗菌薬により 48 時間熱が出ていない患者
- Bヘルニア修復術の後で、排尿でき、食事をとっている患者
- C安定したギプスをつけ、松葉杖で安全に歩けている患者
- D手術の 2 日後で、新たに心拍数が 112 回/分、体温が 38.4 °C の患者
8.むずかしい
4 人の患者が一緒に救急部に到着しました。最初に診るべきは誰ですか?
- A片頭痛があり、血圧が 150/90 mmHg の成人
- B足首が変形しているが、足の脈拍は正常な成人
- Cよだれを垂らし、前かがみに座り、喘鳴(ストライダー)のある 2 歳児
- D腕に切り傷があるが、出血は止まっている 10 代の若者
解答
- 1. D · 18,000/mm³ (18 × 10⁹/L)
- 2. B · 最優先(即時):生命に関わるが、速やかな処置で救命可能
- 3. B · Brief stroke-like symptoms that resolve, warning of a possible stroke
- 4. C · “Weigh him each morning before breakfast, on the same scale, and tell me the result.”
- 5. B · Raise the head of the bed, give oxygen and call for urgent help
- 6. B · The patient’s current condition, recent changes and pending tasks
- 7. D · 手術の 2 日後で、新たに心拍数が 112 回/分、体温が 38.4 °C の患者
- 8. C · よだれを垂らし、前かがみに座り、喘鳴(ストライダー)のある 2 歳児
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