1.やさしい
After washing hands at a sink with hand-operated taps, how should the nurse turn off the water?
- AThe tap is left running for the next person
- BWith a clean, dry paper towel
- CWith the bare forearm before drying
- DWith the freshly washed hands
2.やさしい
How can patients take part in infection prevention?
- ABy being encouraged to ask staff whether they have cleaned their hands
- BBy stopping their antibiotics on their own as soon as they feel a little better
- CBy sharing equipment with other patients
- DBy cleaning their own IV sites with tap water
3.やさしい
During a hospital fire evacuation, where are patients usually moved first?
- AHorizontally, through fire doors to a safe area on the same floor
- BDownward, using the elevators
- CUpward, to the roof of the building where helicopters can reach them
- DStraight out of the building, whatever their condition
4.ふつう
Which practice is safe when transferring a patient from a bed to a stretcher?
- ALeave the stretcher wheels unlocked so it can move with the patient
- BHave the patient slide across without help or a slide sheet
- CLower the stretcher side rails during transport
- DLock the wheels of both the bed and the stretcher before moving the patient
5.ふつう
How is a urine specimen for culture obtained from an indwelling catheter?
- ABy removing the catheter and sending its tip for culture
- BFrom the sampling port, after cleaning it, using aseptic technique
- CFrom the urine already collected in the drainage bag at the bedside
- DBy disconnecting the catheter from the drainage tubing
6.ふつう
Which practice makes shift handoff safer?
- AUsing a standard format such as SBAR or I-PASS, with time for questions
- BGiving handoff in a busy corridor so that the outgoing nurse can leave on time
- CGiving handoff from memory without any structure
- DLeaving written notes only, without a chance for questions
7.むずかしい
Which patient with a suspected infection meets at least two SIRS criteria?
- ATemperature 37.2 °C and heart rate 80/min
- BTemperature 36.8 °C and respiratory rate 18/min
- CTemperature 38.6 °C and heart rate 112/min
- DRespiratory rate 16/min and WBC 8,000/mm3
8.むずかしい
接触予防策中の患者のケアをしている看護師が、ガウンの袖が破れていることに気づきました。看護師はどうすべきですか?
- Aテープの切れ端で破れを覆って続ける
- B破れたガウンの上に、もう1枚ガウンを重ねる
- C破れが小さく袖だけなので、そのまま作業を続ける
- D患者から離れ、出入口で安全にPPEを外し、手指を清潔にして、ガウンを着直す