解答つき優先順位の決定と委任ワークシート

In the United States, which law sets out the scope of nursing practice in each state?

1. AThe Food and Drug Administration rules
2. BThe hospital’s visitor policy
3. CThe state Nurse Practice Act
4. DThe federal tax code

Using the rule of nines, what percentage of body surface does one whole arm represent in an adult?

1. A36%
2. B1%
3. C9%
4. D18%

What is the purpose of the “time-out” just before a surgical procedure?

1. ATo let the family say goodbye to the patient
2. BTo count the swabs at the end of the operation
3. CTo give the surgeon a short rest before the operation starts
4. DTo confirm the correct patient, procedure and site

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

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

転倒予防の対応が必要な患者について、看護師が看護助手に委任すべき業務はどれですか？

1. Aベッドアラームがまだ必要かどうかを判断する
2. B毎朝、患者の転倒リスクスコアをアセスメントして記録する
3. C家庭での転倒予防の方法を家族に指導する
4. D計画どおり、2 時間ごとに患者をトイレに連れて行く

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. AGive a drink of water
2. BGive an oral anti-sickness tablet
3. CTurn the patient onto their side
4. DRaise the legs above the heart

After a head injury, a patient has clear fluid dripping from the nose. Which action should the nurse avoid?

1. AInforming the provider about the drainage
2. BInserting a tube or suction catheter through the nose
3. CPlacing a loose gauze under the nose
4. DChecking the fluid for glucose or a halo sign on gauze

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. ABlack (expectant)
2. BYellow (delayed)
3. CRed (immediate)
4. DGreen (minor)