1.やさしい
When should a nurse wash hands with soap and water rather than use an alcohol-based hand rub?
- ABefore every subcutaneous injection
- BAfter touching a patient’s bed rail
- CWhen the hands are visibly soiled
- DBefore putting on clean gloves
2.やさしい
Which device warns staff when a patient at high risk of falls starts to get up?
- AA cardiac monitor
- BA pulse oximeter
- CAn infusion pump occlusion alarm
- DA bed or chair exit alarm
3.やさしい
A patient is transferred with carbapenem-resistant Enterobacterales (CRE). Which precautions are used in the hospital?
- AContact precautions
- BAirborne precautions
- CA protective environment
- DDroplet precautions
4.ふつう
ラテックスアレルギーのある患者に最も適した安全対策はどれですか?
- A患者ケアでは手袋を一切使わない
- Bラテックス手袋を使い、その後によく手を洗う
- C粉付きのラテックス手袋だけを使う
- Dラテックスフリーの器材を使い、アレルギーを明確に記録する
5.ふつう
How are neuromuscular blocking drugs, such as vecuronium, safely stored?
- ASeparate from other drugs, with a warning that they cause paralysis
- BMixed in the same bin as other high-use drugs
- CIn the general stock cupboard with the other IV drugs and no special labels
- DNext to common IV antibiotics so they are easy to find
6.ふつう
An older adult has trouble getting in and out of the bath. Which measures make bathing safer?
- ALocking the bathroom door for privacy
- BBath oil to help the person slide in and out
- CA shower chair, grab bars and a non-slip mat
- DA loose rug beside the tub to stand on
7.むずかしい
An 82-year-old patient is prescribed diphenhydramine at bedtime for sleep. Why should the nurse raise this with the prescriber?
- AIt is only available as an IV drug and cannot be given by mouth at bedtime
- BIt is strongly anticholinergic and can cause confusion and falls in older adults
- CIt raises blood pressure in most older adults
- DIt is too weak to help an older person sleep
8.むずかしい
A woman in late pregnancy is choking and cannot speak or cough. Which technique should the rescuer use?
- AChest thrusts
- BBlind finger sweeps
- CAbdominal thrusts
- DBack blows only
解答
- 1. C · When the hands are visibly soiled
- 2. D · A bed or chair exit alarm
- 3. A · Contact precautions
- 4. D · ラテックスフリーの器材を使い、アレルギーを明確に記録する
- 5. A · Separate from other drugs, with a warning that they cause paralysis
- 6. C · A shower chair, grab bars and a non-slip mat
- 7. B · It is strongly anticholinergic and can cause confusion and falls in older adults
- 8. A · Chest thrusts
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