1.やさしい
When is a patient most ready to learn about self-care?
- ADuring a period of acute breathlessness
- BWhen pain is controlled and basic physical needs are met
- CWhile in severe pain, so the lesson feels important
- DStraight after hearing bad news about a serious new diagnosis
2.やさしい
Once a nursing assistant has accepted a delegated task, who is responsible for doing it correctly?
- AThe assistant who accepted the task
- BThe patient receiving the care
- COnly the nurse manager
- DNobody, once the task has been delegated
3.やさしい
ABC の枠組みで、循環の問題はどれですか?
- A呼吸数 32 回/分
- B止まらない出血
- C喘鳴(ストライダー)
- D不安
4.ふつう
A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?
- AAsk the patient to walk around the ward until the food arrives
- BTell the patient to wait and do nothing until the tray comes
- CGet the patient some carbohydrate food now and check the glucose
- DGive a second, smaller dose of insulin when the meal tray finally arrives
5.ふつう
A patient had a colostomy formed yesterday. Which stoma appearance should be reported straight away?
- ASlightly swollen
- BDark purple or black
- CMoist and pink-red
- DA little bleeding when cleaned
6.ふつう
Which practice makes a shift handover safest?
- AHanding over only the patients who had problems during the shift
- BLeaving a sticky note on the computer screen for the next nurse
- CA quick chat in the corridor with no notes taken
- DA structured format, such as SBAR, with time for questions
7.むずかしい
A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?
- AThe drain is working normally and no action is needed
- BThe lung has fully re-expanded, so the drain is ready to come out
- CAn air leak in the patient or the system that needs checking
- DThe suction is set too low and needs to be turned up
8.むずかしい
患者が中心静脈ラインから静脈栄養を受けています。直ちに対応が必要な所見はどれですか?
- A昨日から 0.2 kg の体重増加
- Bラインの上の、乾いて剥がれていないドレッシング
- C点滴が予期せず止まったあとの、発汗、ふるえ、血糖 62 mg/dL(3.4 mmol/L)
- D点滴中の血糖 150 mg/dL(8.3 mmol/L)
解答
- 1. B · When pain is controlled and basic physical needs are met
- 2. A · The assistant who accepted the task
- 3. B · 止まらない出血
- 4. C · Get the patient some carbohydrate food now and check the glucose
- 5. B · Dark purple or black
- 6. D · A structured format, such as SBAR, with time for questions
- 7. C · An air leak in the patient or the system that needs checking
- 8. C · 点滴が予期せず止まったあとの、発汗、ふるえ、血糖 62 mg/dL(3.4 mmol/L)
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