解答つき優先順位の決定と委任ワークシート

In Maslow’s hierarchy of needs, which level sits at the top?

1. ALove and belonging
2. BSelf-actualization
3. CEsteem
4. DSafety and security

Which three things does START triage check in a non-walking adult?

1. ARespirations, perfusion and mental status
2. BPain score, mobility and age
3. CPulse, blood pressure and body temperature
4. DAirway, blood glucose and pupils

Which resting heart rate is normal for a newborn?

1. A210/min
2. B140/min
3. C60/min
4. D80/min

安定した成人に腹痛があり、バイタルサインは正常です。血液検査と CT 検査が必要になります。どの ESI レベルが当てはまりますか？

1. Aレベル 1
2. Bレベル 3
3. Cレベル 5
4. Dレベル 4

股関節置換術の 2 日後の患者に対して、看護助手が行うのに適切な業務はどれですか？

1. A退院前に、股関節の禁忌肢位を患者に指導する
2. B前回の鎮痛薬で痛みが抑えられたかを評価する
3. C切開部の発赤、熱感、排液を観察する
4. D股関節の禁忌肢位を守りながら、患者が椅子に移るのを手伝う

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will put up no-smoking signs at the front door and in my room.”
2. B“I will not use oil-based creams on my face.”
3. C“My husband can smoke in my room if the window is open.”
4. D“I will keep the oxygen away from the gas stove.”

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

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

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. AAlcohol withdrawal
2. BFat embolism syndrome
3. CAn allergic reaction to the cast
4. DNormal pain after a fracture