1.やさしい
A nurse notices that a medication is past its expiry date. What should the nurse do?
- AGive it, if it is less than one month expired
- BGive a double dose to make up for lost strength
- CNot give it, and return it according to policy
- DGive it, because medicines work for years after expiry
2.やさしい
指示書に末尾のゼロ(例:「5.0 mg」)を書いてはいけないのはなぜですか?
- A読み間違えると用量が10分の1になるから
- B静脈内投与の薬にのみ認められるから
- C小数点を見落とすと50 mgになるから
- Dラベルの薬剤名が変わることがあるから
3.やさしい
Which practice makes the use of an ice pack safer?
- APut the ice pack directly on bare skin for several hours
- BKeep the ice pack on the skin while the patient sleeps overnight
- CPlace a cloth between the pack and the skin and limit the time it is applied
- DUse it only on areas where the patient has no feeling, so it is not uncomfortable
4.ふつう
患者が手首の抑制を受けている間、最も重要なアセスメントはどれですか?
- A抑制具より末梢の循環、感覚、皮膚
- B身長と体重
- C時計を使った両耳の聴力
- Dその日の飲食の好み
5.ふつう
Where is a gait belt placed when helping a patient to walk?
- AAround the patient’s waist, over clothing
- BAround both thighs, just above the knees
- CAround the chest, under the arms
- DAround the hips, directly on bare skin
6.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
7.むずかしい
混乱している患者が経鼻胃管を何度も引っ張っています。最初に試すべき方法はどれですか?
- A見当識の再確認や付き添いなど、より制限の少ない方法
- Bチューブを守るため、すぐに手首を抑制する
- Cチームに相談せずにチューブを抜去する
- D一晩静かに眠れるよう、鎮静薬を投与する
8.むずかしい
During flu season, a nurse wakes up with fever, cough and muscle aches. What is the best action?
- AStay home and inform the employer according to the illness policy
- BGo to work but wear a surgical mask for the whole shift
- CTake an antipyretic so the fever does not show at work
- DGo to work but avoid caring for patients who have weak immune systems
解答
- 1. C · Not give it, and return it according to policy
- 2. C · 小数点を見落とすと50 mgになるから
- 3. C · Place a cloth between the pack and the skin and limit the time it is applied
- 4. A · 抑制具より末梢の循環、感覚、皮膚
- 5. A · Around the patient’s waist, over clothing
- 6. C · To reduce skin bacteria and bloodstream infections linked to central lines
- 7. A · 見当識の再確認や付き添いなど、より制限の少ない方法
- 8. A · Stay home and inform the employer according to the illness policy
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