1.やさしい
During a hospital fire evacuation, where are patients usually moved first?
- AStraight out of the building, whatever their condition
- BDownward, using the elevators
- CHorizontally, through fire doors to a safe area on the same floor
- DUpward, to the roof of the building where helicopters can reach them
2.やさしい
How should waste contaminated with chemotherapy drugs be discarded?
- AIn the recycling bin with plastics
- BIn a separate labeled container for hazardous drug waste
- CIn the general household-type trash bin on the ward, tied in a bag
- DDown the sink with plenty of water
3.やさしい
Why are a low bed and floor mats used for some patients at high risk of falls?
- AThey help the patient sleep more deeply
- BThey make it easier for staff to clean under and around the bed
- CThey stop the patient from ever leaving the bed
- DThey reduce the risk of injury if the patient falls out of bed
4.ふつう
A nurse wants to set up a sterile field in the morning for a procedure that will take place after lunch. What is correct?
- ASet it up in the morning and cover it with a clean towel until the procedure starts
- BSet it up in the morning and ask a colleague to check it once
- CSet it up just before the procedure, because a waiting field may become contaminated
- DSet it up in the morning and leave it uncovered in an empty room
5.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患者の手が抜けるほどゆるく
- B手首の脈が遅くなるほどきつく
- C患者が腕を動かせないよう、できるだけきつく
- D抑制具と皮膚の間に指が2本入る程度のゆるさ
6.ふつう
接触予防策中の患者に対する器材の扱いで、正しいのはどれですか?
- Aその患者専用の聴診器と血圧計のカフを使う
- B清拭せずに、すべての患者に同じ聴診器を使う
- C患者の器材を隣の部屋へ持っていく
- D清潔な物品庫から出した器材を、そのまま戻す
7.むずかしい
手書きの指示に「10U regular insulin subcut now」とあります。看護師の最善の対応はどれですか?
- A疑問を持たず、書かれたとおり10単位を与える
- B指示がそう読めるので、100単位を与える
- C看護助手に筆跡を解読してもらう
- D「U」は読み間違えられるおそれがあるため、指示を確認する
8.むずかしい
According to the “Swiss cheese” model of error, why do errors reach patients?
- ATechnology fails more often than people do
- BOne careless person makes a mistake that no system could stop
- CWeaknesses in several layers of defense line up at the same time
- DPatients often do not follow their care instructions
解答
- 1. C · Horizontally, through fire doors to a safe area on the same floor
- 2. B · In a separate labeled container for hazardous drug waste
- 3. D · They reduce the risk of injury if the patient falls out of bed
- 4. C · Set it up just before the procedure, because a waiting field may become contaminated
- 5. D · 抑制具と皮膚の間に指が2本入る程度のゆるさ
- 6. A · その患者専用の聴診器と血圧計のカフを使う
- 7. D · 「U」は読み間違えられるおそれがあるため、指示を確認する
- 8. C · Weaknesses in several layers of defense line up at the same time
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