解答つき優先順位の決定と委任ワークシート

Which serum lithium level suggests toxicity?

1. A2.2 mEq/L
2. B0.8 mEq/L
3. C0.7 mEq/L
4. D1.0 mEq/L

In mmHg, what is the normal range for arterial PaCO₂?

1. A35–45 mmHg
2. B22–26 mmHg
3. C80–100 mmHg
4. D7.35–7.45 mmHg

Which adult blood glucose result needs treatment straight away?

1. A98 mg/dL (5.4 mmol/L) before breakfast
2. B110 mg/dL (6.1 mmol/L) after a snack
3. C52 mg/dL (2.9 mmol/L) with sweating and shakiness
4. D130 mg/dL (7.2 mmol/L) two hours after a large lunch

看護師（RN）が看護助手に「12 号室の患者さんを見てきて」と伝えました。委任の正しさのうち、欠けているのはどれですか？

1. A正しい指示とコミュニケーション
2. B現場に合った正しい業務
3. Cその業務に正しい人
4. D正しい状況

A patient coughs hard after abdominal surgery, and loops of bowel appear through the opened wound. What does the nurse do first?

1. ACover the wound with sterile dressings moistened with saline
2. BPush the bowel gently back into the abdomen with a gloved hand
3. CHelp the patient walk to the toilet to relieve abdominal pressure
4. DLeave the wound uncovered so the surgeon can see it on arrival

A nursing assistant offers to suction a patient’s new tracheostomy. Which response from the RN is best?

1. A“Ask the patient’s family to do the suctioning today.”
2. B“Leave the suctioning until the next shift arrives.”
3. C“Suctioning a new tracheostomy is my task; I will do it myself.”
4. D“Thank you, please suction him as needed and tell me how it went.”

Which patient finding after a total knee replacement needs the nurse’s action first?

1. AA small amount of dried blood on the dressing
2. BSudden calf pain and swelling in the operated leg, with new breathlessness
3. CAsks for an ice pack to help with swelling around the knee
4. DPain of 4/10 when the physiotherapist bends the knee during the morning session

A patient arrives at the emergency department with a plan to end their life, but has normal vital signs. Which ESI level fits best?

1. ALevel 4
2. BLevel 2
3. CLevel 5
4. DLevel 1