1.やさしい
Before giving a medication, how many patient identifiers should the nurse check?
- ANone, if the nurse already knows the patient well
- BAt least two, such as name and date of birth
- COne, the bed number
- DOne, the room number
2.やさしい
What is the main purpose of a rapid response team?
- ATo handle complaints from patients and families
- BTo assess and treat a deteriorating patient before an arrest happens
- CTo review medication errors and falls after they have happened on the unit
- DTo transport stable patients between hospital units
3.やさしい
In US patient-safety terms (The Joint Commission), what is a sentinel event?
- AA routine handover between shifts
- BA planned admission to intensive care
- CA minor error that was noticed but caused no harm at all
- DAn unexpected event that causes death or serious harm
4.ふつう
A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?
- ASit the patient upright with the legs lowered
- BApply extra blankets to keep the patient warm and calm
- CLay the patient flat with the legs raised
- DGive a warm drink and recheck the blood pressure in an hour
5.ふつう
心電図モニターが患者の平坦な波形(心静止)を示していますが、患者は座って話しています。看護師が最初にすることは何ですか?
- A除細動器の準備をして、ショックを与える
- B患者と電極のリード線を確認する
- Cすぐに胸骨圧迫を開始する
- D心停止対応チームを呼ぶ
6.ふつう
Which action by a nursing assistant needs the nurse to step in?
- ACleaning hands before entering the room
- BTaking an oral temperature just after the patient drank cold water
- CPutting the call light within the patient’s reach
- DLowering the bed to its lowest position and locking the wheels after care
7.むずかしい
A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?
- ARapid cooling while supporting airway and circulation
- BGiving an antipyretic tablet and waiting for it to work
- CAsking the runner to rest in the shade and drink slowly
- DWrapping the runner in a blanket to prevent shivering
8.むずかしい
A child who had a tonsillectomy this morning is swallowing again and again while asleep. What should the nurse suspect?
- AA sore throat from the breathing tube
- BNormal swallowing during sleep
- CBleeding from the operation site
- DHunger after fasting for surgery
解答
- 1. B · At least two, such as name and date of birth
- 2. B · To assess and treat a deteriorating patient before an arrest happens
- 3. D · An unexpected event that causes death or serious harm
- 4. A · Sit the patient upright with the legs lowered
- 5. B · 患者と電極のリード線を確認する
- 6. B · Taking an oral temperature just after the patient drank cold water
- 7. A · Rapid cooling while supporting airway and circulation
- 8. C · Bleeding from the operation site
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