1.やさしい
An adult without lung disease is breathing room air. Which SpO₂ reading needs action?
- A96%
- B89%
- C99%
- D97%
2.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?
- A患者の鎮痛薬への反応の評価
- B患者に新しいインスリンの注射の仕方を教えること
- C新規入院患者の入院時アセスメント
- D安定した患者のバイタルサインの測定
3.やさしい
For a patient with a suspected heart attack and no contraindications, which drug is usually given early?
- ACodeine
- BAspirin, chewed
- CAcetaminophen (paracetamol)
- DIbuprofen
4.ふつう
A patient reports pain of 8/10. Before giving the prescribed as-needed analgesic, what does the nurse do first?
- AAssess the location, character and onset of the pain and the vital signs
- BGive the strongest analgesic on the chart straight away
- CAsk the nursing assistant to reposition the patient
- DTell the patient to wait until the next scheduled dose is due in two hours
5.ふつう
看護助手が 4 人の患者について報告します。看護師がまず注意を向けるべき報告はどれですか?
- A腹部手術の 1 日後の患者が、新たに落ち着きがなく、心拍数が 124 回/分である
- B患者が枕をもう 1 つほしいと頼んでいる
- CCOPD の患者の安静時 SpO₂ が 90 % で、普段の値と同じである
- D患者が過去 6 時間に 300 mL の尿を出した
6.ふつう
A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?
- A“I will check the expiry date on the label before I use the vial.”
- B“I will not leave my insulin in a hot car.”
- C“I will keep my spare insulin in the freezer so it lasts longer.”
- D“I will keep unopened insulin in the fridge.”
7.むずかしい
Several patients on a unit develop diarrhea within two days. What should the nurse do first?
- APlace affected patients on contact precautions and inform infection control
- BMove the affected patients into shared rooms with other patients to free up beds
- CWait to see if more patients become unwell
- DGive all patients antidiarrheal drugs without assessment
8.むずかしい
A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?
- ABreathing strength, such as vital capacity and the ability to cough
- BSkin condition over the heels
- CThe patient’s mood and coping
- DMuscle strength in the feet and ankles at the start of each morning
解答
- 1. B · 89%
- 2. D · 安定した患者のバイタルサインの測定
- 3. B · Aspirin, chewed
- 4. A · Assess the location, character and onset of the pain and the vital signs
- 5. A · 腹部手術の 1 日後の患者が、新たに落ち着きがなく、心拍数が 124 回/分である
- 6. C · “I will keep my spare insulin in the freezer so it lasts longer.”
- 7. A · Place affected patients on contact precautions and inform infection control
- 8. A · Breathing strength, such as vital capacity and the ability to cough
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