1.やさしい
What is terminal cleaning?
- ACleaning computer terminals at the nurses’ station
- BCleaning the hands at the end of a shift before going home
- CA full clean and disinfection of a room after the patient leaves
- DCleaning a room only once a week, whatever happens on the ward
2.やさしい
Which precautions are needed for a patient with Legionnaires’ disease (Legionella pneumonia)?
- AStandard precautions
- BAirborne precautions
- CDroplet precautions
- DContact precautions
3.やさしい
How should waste contaminated with chemotherapy drugs be discarded?
- AIn the general household-type trash bin on the ward, tied in a bag
- BIn the recycling bin with plastics
- CDown the sink with plenty of water
- DIn a separate labeled container for hazardous drug waste
4.ふつう
手首の抑制具は、どのくらいの強さで固定しますか?
- A抑制具と皮膚の間に指が2本入る程度のゆるさ
- B手首の脈が遅くなるほどきつく
- C患者の手が抜けるほどゆるく
- D患者が腕を動かせないよう、できるだけきつく
5.ふつう
A patient has highly contagious viral conjunctivitis. Which teaching is most important?
- AWear a surgical mask whenever someone else is in the room
- BWash hands often and do not share towels, pillows or eye drops
- CRub the eyes gently to remove the discharge
- DKeep using the same contact lenses to protect the eyes
6.ふつう
A nurse has been fit-tested for an N95 respirator. What should the nurse do each time it is put on?
- AArrange a new fit test
- BWear a surgical mask underneath it
- CPerform a user seal check
- DMoisten the edges so it seals better
7.むずかしい
A patient on airborne precautions for tuberculosis wants to walk in the hallway. What is the best response?
- AAllow it, as long as they walk quickly
- BAllow it, if they avoid the nurses’ station
- CAllow it, as long as the patient wears an N95 respirator in the corridor
- DExplain that they must stay in the room, and offer ways to stay active inside it
8.むずかしい
A visitor is receiving an electric shock from a faulty lamp and is still touching it. What should the nurse do first?
- APull the visitor away from the lamp by the arm as quickly as possible
- BSwitch off the power or unplug the lamp without touching the person
- CThrow water over the lamp to stop the current
- DStart chest compressions straight away
解答
- 1. C · A full clean and disinfection of a room after the patient leaves
- 2. A · Standard precautions
- 3. D · In a separate labeled container for hazardous drug waste
- 4. A · 抑制具と皮膚の間に指が2本入る程度のゆるさ
- 5. B · Wash hands often and do not share towels, pillows or eye drops
- 6. C · Perform a user seal check
- 7. D · Explain that they must stay in the room, and offer ways to stay active inside it
- 8. B · Switch off the power or unplug the lamp without touching the person
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