1.やさしい
Which footwear is safest for a hospitalized patient who is walking?
- ANon-slip socks or well-fitting shoes with non-slip soles
- BBare feet on the polished floor
- CLoose slippers with an open heel that are easy to slide on
- DOrdinary cotton socks with no grip on the soles
2.やさしい
To which patients do standard precautions apply?
- AOnly to patients with a known infection
- BOnly to patients having surgery
- COnly to patients in isolation rooms
- DTo all patients, whatever their diagnosis
3.やさしい
Why do hospital electrical devices have three-prong plugs?
- AThe third prong connects the device to a backup battery
- BThe third prong grounds the device and carries stray current safely away
- CThe third prong lets the device draw a higher voltage from the wall socket
- DThe third prong stops the plug from being pulled out by accident
4.ふつう
Many intensive care units bathe patients daily with chlorhexidine. What is the main purpose?
- ATo lower the patient’s body temperature
- BTo treat existing wound infections without the need for antibiotics
- CTo reduce skin bacteria and bloodstream infections linked to central lines
- DTo moisturize dry skin in older patients
5.ふつう
非滅菌の台の上に置いた滅菌ドレープに、滅菌生理食塩水がこぼれました。これは何を意味しますか?
- A生理食塩水は滅菌なので、滅菌野は滅菌のままである
- B水分がドレープを通して微生物を運ぶことがあるため、滅菌野は汚染された
- C乾けば滅菌野は再び滅菌になる
- D濡れた部分だけが汚染されているので、乾いた部分に物を移せばよい
6.ふつう
A parent says, “I tell my son his medicine is candy so he takes it.” What should the nurse teach?
- AIt is fine as long as the medicine is kept in the fridge
- BThis is a good idea and makes giving medicine easier
- CDo not call medicine candy, because the child may take it when no one is watching
- DIt only matters for medicines that taste bitter or are hard to swallow
7.むずかしい
硬膜外注入での投与経路の誤りを最もよく防ぐ行動はどれですか?
- A硬膜外ラインに表示をつけ、専用のポンプで管理する
- B硬膜外ポートが詰まったら、空いている静脈ポートを使う
- Cきれいにまとめるため、すべてのラインをテープで束ねる
- D患者のすべての注入に、同じ種類のポンプとチューブを使う
8.むずかしい
The laboratory reports that a blood sample labeled with one patient’s name has a blood group different from that patient’s previous result. What is the most likely problem and response?
- AThe previous result was wrong, so it is deleted
- BA normal change in the patient’s blood group over the years since the last test
- CA wrong-patient sample, so the test is repeated and the event reported
- DA laboratory machine fault, so no action is needed
解答
- 1. A · Non-slip socks or well-fitting shoes with non-slip soles
- 2. D · To all patients, whatever their diagnosis
- 3. B · The third prong grounds the device and carries stray current safely away
- 4. C · To reduce skin bacteria and bloodstream infections linked to central lines
- 5. B · 水分がドレープを通して微生物を運ぶことがあるため、滅菌野は汚染された
- 6. C · Do not call medicine candy, because the child may take it when no one is watching
- 7. A · 硬膜外ラインに表示をつけ、専用のポンプで管理する
- 8. C · A wrong-patient sample, so the test is repeated and the event reported
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