解答つき優先順位の決定と委任ワークシート

Using the PASS method for a fire extinguisher, what is the first step?

1. APull the pin
2. BAim at the base of the fire
3. CSweep from side to side
4. DSqueeze the handle

委任の 5 つの正しさ（5 rights）の 1 つはどれですか？

1. A正しい監督と評価
2. B正しい用量と濃度
3. C正しい時間と頻度
4. D正しい経路と注射部位

Using the RACE fire response, what does the nurse do first when finding a fire in a patient’s room?

1. AUse an extinguisher on the fire
2. BClose doors to contain the fire and smoke
3. CPull the fire alarm
4. DRescue patients in immediate danger

An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?

1. ADiphenhydramine
2. BA warm milky drink
3. CMelatonin
4. DAcetaminophen (paracetamol)

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AStop the infusion and remove the cannula
2. BApply a tight bandage over the site to reduce swelling
3. CFlush the cannula hard to clear the blockage
4. DIncrease the infusion rate to overcome the resistance

Which patient is at the highest risk of falling?

1. AA 45-year-old with asthma who is alert and independent
2. BAn 84-year-old taking a diuretic who has fallen before and gets up at night
3. CA 60-year-old admitted for chest pain that has since been ruled out by tests
4. DA 30-year-old after an appendectomy who walks with steady steps

循環器病棟で、看護師が最初に診るべき患者はどれですか？

1. A心不全で、昨日から体重が 0.3 kg 増えた患者
2. B明日の検査のために絶食を指示された患者
3. Cジゴキシンを服用し、脈拍が 48 回/分で、悪心があり、カリウムが 3.0 mEq/L の患者
4. D心房細動で、心拍数が 88 回/分で、以前と同様に不整な患者

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4.3 kPa) on arrival. An hour later it is 46 mmHg (6.1 kPa), and the patient seems tired. What does this suggest?

1. AA laboratory error that should be ignored
2. BThe asthma is improving, because the PaCO₂ is now near normal
3. CRespiratory muscle fatigue with possible impending respiratory failure
4. DThe patient is hyperventilating even more than before and needs calming