1.やさしい
In the ABC framework, which finding is mainly a breathing problem?
- AA blood glucose of 60 mg/dL (3.3 mmol/L)
- BStridor caused by a swollen throat
- CShallow breaths with an SpO₂ of 85% on room air
- DHeart rate 150/min with a low blood pressure and cold skin
2.やさしい
What is a “critical value” in laboratory testing?
- AA result that is slightly outside the normal range and can wait for the ward round
- BA result that the patient has asked to see
- CA result that may be life-threatening and must be reported at once
- DA result that is needed only for research
3.やさしい
Where is intramuscular epinephrine usually injected for anaphylaxis?
- AThe buttock
- BA vein in the hand
- CThe outer middle thigh
- DThe abdomen under the skin
4.ふつう
A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?
- A“I may get a headache after taking a tablet.”
- B“I will swallow the tablet with a glass of water.”
- C“I will keep the tablets in their original dark container.”
- D“I will sit down before I take a tablet.”
5.ふつう
A patient has a new plaster cast that is still drying. How should the nurse handle it?
- ABy resting it directly on a hard surface
- BWith the palms of the hands, not the fingertips
- CWith the fingertips, pressing firmly to test it
- DBy covering it tightly with a plastic sheet
6.ふつう
A nurse teaches a patient who has started warfarin. Which statement shows a need for further teaching?
- A“If I miss a dose, I will take two the next day.”
- B“I will use a soft toothbrush.”
- C“I will keep my INR blood test appointments.”
- D“I will tell my dentist and pharmacist that I take warfarin.”
7.むずかしい
An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?
- AAssessing the breathless patient’s lung sounds
- BMorning vital signs on the four stable patients
- CGiving the breathless patient’s IV furosemide
- DExplaining the new diagnosis to the breathless patient’s family
8.むずかしい
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?
- AWitness it and write “sedated” beside the signature
- BWitness it quickly before the sedative takes full effect
- CAsk a family member to sign on the patient’s behalf
- DNot witness the consent and inform the surgeon
解答
- 1. C · Shallow breaths with an SpO₂ of 85% on room air
- 2. C · A result that may be life-threatening and must be reported at once
- 3. C · The outer middle thigh
- 4. B · “I will swallow the tablet with a glass of water.”
- 5. B · With the palms of the hands, not the fingertips
- 6. A · “If I miss a dose, I will take two the next day.”
- 7. B · Morning vital signs on the four stable patients
- 8. D · Not witness the consent and inform the surgeon
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