解答つき優先順位の決定と委任ワークシート

無料で印刷できる優先順位の決定と委任のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

看護師（RN）が、看護助手などの無資格の看護補助者（UAP）に通常委任できる業務はどれですか？

  1. A新規入院患者の入院時アセスメント
  2. B安定した患者のバイタルサインの測定
  3. C患者に新しいインスリンの注射の仕方を教えること
  4. D患者の鎮痛薬への反応の評価
2.やさしい

Which serum sodium value is within the normal adult range?

  1. A120 mEq/L (120 mmol/L)
  2. B152 mEq/L (152 mmol/L)
  3. C128 mEq/L (128 mmol/L)
  4. D140 mEq/L (140 mmol/L)
3.やさしい

What is the CIWA scale used to assess?

  1. AThe severity of a newborn’s jaundice
  2. BThe risk of a pressure injury
  3. CThe depth of a burn wound
  4. DThe severity of alcohol withdrawal
4.ふつう

Straight after birth, what is the first priority for a healthy-looking newborn?

  1. ADry and warm the baby while checking that it is breathing
  2. BWeigh and measure the baby on the scale
  3. CGive the vitamin K injection before anything else is done
  4. DGive the first bath to remove the blood and vernix
5.ふつう

A patient receiving chemotherapy has a temperature of 38.3 °C and a very low neutrophil count. What should the nurse do?

  1. ARecheck the temperature in four hours before telling anyone
  2. BDocument the reading and mention it at the next handover
  3. CReport it at once, because cultures and antibiotics are needed quickly
  4. DGive a cool shower and offer extra fluids, then wait and see what happens
6.ふつう

がんと告げられたばかりの患者が泣いていますが、何度か嘔吐もしていて、水分を保持できません。看護師が最初に対処するのは何ですか？

  1. A嘔吐と水分の喪失
  2. B化学療法についての指導
  3. C病院付きの牧師への連絡
  4. D診断についての心理的支援
7.むずかしい

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3.0 mEq/L. What should the nurse do?

  1. AStart the insulin at once, because the glucose is the bigger problem
  2. BIgnore the result, since potassium is always high in this condition and will correct itself
  3. CReport the result before starting, because insulin will push potassium even lower
  4. DGive the insulin as a fast bolus to bring the potassium up
8.むずかしい

At 08:00 a nurse has four tasks. Which order is best?

  1. ACheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
  2. BGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast
  3. CUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂
  4. DGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications

解答

  1. 1. B · 安定した患者のバイタルサインの測定
  2. 2. D · 140 mEq/L (140 mmol/L)
  3. 3. D · The severity of alcohol withdrawal
  4. 4. A · Dry and warm the baby while checking that it is breathing
  5. 5. C · Report it at once, because cultures and antibiotics are needed quickly
  6. 6. A · 嘔吐と水分の喪失
  7. 7. C · Report the result before starting, because insulin will push potassium even lower
  8. 8. A · Check the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans

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