1.やさしい
Which example shows indirect contact transmission?
- ALarge droplets from a sneeze land directly on a nearby person’s face
- BBacteria on a bed rail reach a nurse’s hands and then another patient
- CA person inhales tiny particles that hang in the air of a room
- DA mosquito bites an infected person and then a healthy one
2.やさしい
How should a healthy infant be placed to sleep to reduce the risk of sudden infant death?
- AOn the side, propped up with rolled blankets
- BIn the parents’ bed, between two pillows
- COn the stomach, on a soft mattress with a small pillow for comfort
- DOn the back, on a firm flat surface with no soft bedding
3.やさしい
What is the difference between an epidemic and a pandemic?
- AA pandemic is an epidemic that spreads across several countries or continents
- BAn epidemic is a disease that is always present at a low level
- CA pandemic is a disease that only affects animals and never spreads to people
- DAn epidemic always affects more people than a pandemic
4.ふつう
How should a nurse handle soiled bed linen?
- ACarry it bundled against the body to the soiled utility room down the hall
- BPut it on the floor until the bed is made
- CShake it out first to check for lost items
- DHold it away from the uniform and place it straight into a linen bag
5.ふつう
Which information must be documented when a patient is restrained?
- AOnly the time the restraint was put on and the time it was taken off
- BOnly the name of the nurse who applied it and the unit where it happened
- CThe reason, alternatives tried, type of restraint, times and regular assessments
- DOnly whether the family agreed to the restraint
6.ふつう
A peripheral IV site is red, warm and tender along the vein. What should the nurse do?
- AFlush the catheter harder to clear the vein and keep using the same site
- BApply a warm pack and keep using the same site
- CIncrease the infusion rate to finish the bag sooner
- DRemove the catheter and insert a new one at another site if still needed
7.むずかしい
A nurse finds an unknown liquid leaking from a container in the utility room, with a strong smell. What should the nurse do first?
- AMop it up with paper towels
- BPour water over it to dilute it
- CLeave the area, keep others out and alert the trained response team
- DMove closer and smell it carefully to identify what the substance is
8.むずかしい
A patient with a common cold asks for antibiotics “to be on the safe side”. Which response is best?
- AExplain that antibiotics do not work on viruses and overuse breeds resistant bacteria
- BSuggest using leftover antibiotics from a previous illness
- CAsk the provider to prescribe antibiotics anyway so that the patient is reassured
- DTell the patient that antibiotics will shorten the cold by several days
解答
- 1. B · Bacteria on a bed rail reach a nurse’s hands and then another patient
- 2. D · On the back, on a firm flat surface with no soft bedding
- 3. A · A pandemic is an epidemic that spreads across several countries or continents
- 4. D · Hold it away from the uniform and place it straight into a linen bag
- 5. C · The reason, alternatives tried, type of restraint, times and regular assessments
- 6. D · Remove the catheter and insert a new one at another site if still needed
- 7. C · Leave the area, keep others out and alert the trained response team
- 8. A · Explain that antibiotics do not work on viruses and overuse breeds resistant bacteria
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