1.やさしい
What is a safety huddle?
- AA short team meeting to share current risks and the plan for the shift
- BA meeting between the patient and their lawyer
- CA long monthly meeting about staff holidays
- DA formal disciplinary meeting held after a staff member makes an error
2.やさしい
Which item belongs in a sharps container?
- AA soiled gauze dressing
- BA used scalpel blade
- CA pair of used gloves
- DAn empty IV bag with the tubing removed
3.やさしい
Why do hospital electrical devices have three-prong plugs?
- AThe third prong stops the plug from being pulled out by accident
- BThe third prong connects the device to a backup battery
- CThe third prong grounds the device and carries stray current safely away
- DThe third prong lets the device draw a higher voltage from the wall socket
4.ふつう
Before a defibrillator shock is delivered, what must the person operating it do?
- AHold the patient’s hand to keep them still
- BKeep the oxygen mask on the patient’s face, held against the chest
- CCall “all clear” and check that nobody is touching the patient or bed
- DAsk a colleague to hold the paddles in place
5.ふつう
A woman who is pregnant asks for the MMR vaccine because she is not immune to rubella. What is correct?
- AMMR should be given as soon as possible in the first trimester to protect the baby
- BMMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- CMMR is only given to pregnant women who work in hospitals
- DMMR is safe at any stage of pregnancy
6.ふつう
A patient on oxygen is being taken to another department by wheelchair. What should the nurse check first?
- AThat the portable cylinder has enough oxygen for the whole trip
- BThat the cylinder is placed on the patient’s lap
- CThat the cylinder is the largest size available
- DThat the oxygen is turned off during the transfer to save the supply in the tank
7.むずかしい
A patient has a rash, and both smallpox and chickenpox are considered. Which finding suggests smallpox?
- ASmall crops of new lesions appearing over several days in a row
- BLesions at different stages, most dense on the trunk
- CA rash that is very itchy and starts on the trunk
- DLesions all at the same stage, most dense on the face and limbs
8.むずかしい
A competent patient at high risk of falls insists on walking to the bathroom alone. What is the best nursing approach?
- ARemove the patient’s shoes and walking aid so that they cannot walk alone
- BTell the patient that walking alone is against hospital law
- CExplain the risks, agree on ways to reduce them, respect the decision and document
- DApply wrist restraints so the patient stays in bed
解答
- 1. A · A short team meeting to share current risks and the plan for the shift
- 2. B · A used scalpel blade
- 3. C · The third prong grounds the device and carries stray current safely away
- 4. C · Call “all clear” and check that nobody is touching the patient or bed
- 5. B · MMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- 6. A · That the portable cylinder has enough oxygen for the whole trip
- 7. D · Lesions all at the same stage, most dense on the face and limbs
- 8. C · Explain the risks, agree on ways to reduce them, respect the decision and document
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