1.やさしい
Which of these counts as a physical restraint?
- AUsing a gait belt while helping a patient walk in the corridor
- BUsing a bed exit alarm for a patient at high risk of falling at night
- CRaising all four side rails to stop a patient from getting out of bed
- DPlacing the bed in its lowest position
2.やさしい
How should waste contaminated with chemotherapy drugs be discarded?
- ADown the sink with plenty of water
- BIn the general household-type trash bin on the ward, tied in a bag
- CIn the recycling bin with plastics
- DIn a separate labeled container for hazardous drug waste
3.やさしい
What is a healthcare-associated infection?
- AAn infection that only affects health care workers, not patients
- BAn infection acquired during care that was not present or incubating on admission
- CAn infection that was already present or incubating when the patient was admitted
- DAn infection caught at home from a family member during recovery
4.ふつう
A patient has highly contagious viral conjunctivitis. Which teaching is most important?
- ARub the eyes gently to remove the discharge
- BWear a surgical mask whenever someone else is in the room
- CWash hands often and do not share towels, pillows or eye drops
- DKeep using the same contact lenses to protect the eyes
5.ふつう
Why can side rails be dangerous for a confused, restless patient?
- ASide rails stop staff from reaching the patient in an emergency
- BSide rails make the bed move by itself
- CSide rails always cause pressure injuries
- DThe patient may climb over them or get trapped in gaps
6.ふつう
An alcohol-based skin prep has been used before surgery with electrosurgery. What must happen before the drapes are placed?
- AThe prep must be fully dry and any pooled liquid removed
- BThe prep must be wiped off with saline
- CThe prep must be warmed with a hair dryer
- DThe prep must be covered with the drapes while it is still wet
7.むずかしい
A patient was harmed by a medication error and asks the nurse what happened. Which approach is best?
- ATell the patient nothing happened to avoid worry
- BBlame the pharmacy for the error so that the nurse and the ward are not at fault
- CBe honest that an error occurred and involve the provider and team in disclosure per policy
- DTell the patient to make a formal complaint to find out
8.むずかしい
A nurse floated to an unfamiliar unit is asked to manage a device they have never been trained to use. What should the nurse do?
- ADo it anyway, using only the device manual and the instructions on the screen
- BAsk the patient or the family to explain how the device works
- CLeave the device untouched and not tell anyone
- DTell the charge nurse and ask for help or a change of assignment
解答
- 1. C · Raising all four side rails to stop a patient from getting out of bed
- 2. D · In a separate labeled container for hazardous drug waste
- 3. B · An infection acquired during care that was not present or incubating on admission
- 4. C · Wash hands often and do not share towels, pillows or eye drops
- 5. D · The patient may climb over them or get trapped in gaps
- 6. A · The prep must be fully dry and any pooled liquid removed
- 7. C · Be honest that an error occurred and involve the provider and team in disclosure per policy
- 8. D · Tell the charge nurse and ask for help or a change of assignment
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