1.やさしい
Which task is appropriate to delegate to a nursing assistant?
- AFeeding a stable patient who has no swallowing problems
- BGiving a stable patient their oral medications
- CAssessing a pressure injury on the sacrum
- DFeeding a patient with newly diagnosed dysphagia after a stroke
2.やさしい
What is the normal baseline fetal heart rate?
- A160–220/min
- B40–60/min
- C60–100/min
- D110–160/min
3.やさしい
In the ABC framework, which finding is mainly a breathing problem?
- AShallow breaths with an SpO₂ of 85% on room air
- BHeart rate 150/min with a low blood pressure and cold skin
- CA blood glucose of 60 mg/dL (3.3 mmol/L)
- DStridor caused by a swollen throat
4.ふつう
A patient has a tonic-clonic seizure in bed. What should the nurse do first?
- APlace a tongue depressor between the teeth
- BGive a drink of water to help the patient wake
- CHold the arms and legs down firmly to stop the jerking movements quickly
- DProtect the head and turn the patient on their side when possible
5.ふつう
The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?
- AReassure the patient that this is normal after neck surgery
- BEncourage deep breaths into a paper bag until it passes
- CGive the patient’s routine oral iron supplement early
- DCheck for signs of low calcium and inform the provider
6.ふつう
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?
- A家庭での転倒予防の方法を家族に指導する
- B計画どおり、2 時間ごとに患者をトイレに連れて行く
- Cベッドアラームがまだ必要かどうかを判断する
- D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
7.むずかしい
A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?
- AA minor chest infection that can safely wait until the morning round
- BAcute chest syndrome, which needs urgent escalation and oxygen
- CAn ordinary pain crisis that will improve with rest
- DAnxiety that will settle with reassurance
8.むずかしい
START 法のトリアージで、成人が呼吸していません。気道の位置を整えても、まだ呼吸しません。正しい区分はどれですか?
- A黄で、あとで戻ってくる
- B呼吸がないことが最も緊急の所見なので、赤
- C黒(死亡または救命困難)
- D赤で、直ちに CPR を開始する
解答
- 1. A · Feeding a stable patient who has no swallowing problems
- 2. D · 110–160/min
- 3. A · Shallow breaths with an SpO₂ of 85% on room air
- 4. D · Protect the head and turn the patient on their side when possible
- 5. D · Check for signs of low calcium and inform the provider
- 6. B · 計画どおり、2 時間ごとに患者をトイレに連れて行く
- 7. B · Acute chest syndrome, which needs urgent escalation and oxygen
- 8. C · 黒(死亡または救命困難)
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