1.やさしい
バンコマイシン耐性腸球菌(VRE)を保菌している患者にはどの予防策を用いますか?
- A飛沫予防策
- B防護隔離(逆隔離)
- C接触予防策
- D空気予防策
2.やさしい
In quality improvement, what does the PDSA cycle stand for?
- APlan, Document, Supervise, Audit
- BPredict, Decide, Start, Analyze
- CPrepare, Deliver, Score, Assess
- DPlan, Do, Study, Act
3.やさしい
Why is “IU” (international units) on The Joint Commission’s “Do Not Use” list?
- AIt is only allowed in pediatric orders
- BIt refers only to insulin units
- CIt can be misread as “IV” or as the number 10
- DIt means “inpatient use” in many hospitals
4.ふつう
When should blood specimen tubes be labeled?
- ABack at the station after all the samples are collected
- BAt the bedside, in front of the patient, right after collection
- CBy the laboratory staff after the tubes arrive
- DAt the nurses’ station before going to the patient, to save time
5.ふつう
How does a nurse add a sterile gauze pack to a sterile field that is already set up?
- APlace the whole wrapped pack on the field and open it there with sterile gloves
- BTip the item onto the field and push it into place with the wrapper
- CReach across the field with clean gloves to place the item
- DOpen the wrapper away from the field and drop the item on it without reaching over
6.ふつう
A woman who is pregnant asks for the MMR vaccine because she is not immune to rubella. What is correct?
- AMMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- BMMR should be given as soon as possible in the first trimester to protect the baby
- CMMR is safe at any stage of pregnancy
- DMMR is only given to pregnant women who work in hospitals
7.むずかしい
During a disaster, the hospital needs to free beds quickly. Which patient is the best candidate for early discharge?
- AA patient admitted overnight for observation who is now stable with normal tests
- BA patient with ongoing chest pain awaiting cardiac tests
- CA patient on an IV heparin infusion that is still being adjusted
- DA patient on a ventilator in the intensive care unit who is slowly improving
8.むずかしい
急性の下痢で入院した患者に C. difficile 感染症が疑われます。検査結果は未着です。接触予防策はいつ開始しますか?
- A下痢が3日続いた後
- B検査結果が陽性で返ってきたときだけ
- C検査結果を待たず、直ちに
- D患者が発熱したときだけ
解答
- 1. C · 接触予防策
- 2. D · Plan, Do, Study, Act
- 3. C · It can be misread as “IV” or as the number 10
- 4. B · At the bedside, in front of the patient, right after collection
- 5. D · Open the wrapper away from the field and drop the item on it without reaching over
- 6. A · MMR is a live vaccine and is not given during pregnancy, but can be given after delivery
- 7. A · A patient admitted overnight for observation who is now stable with normal tests
- 8. C · 検査結果を待たず、直ちに
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