1.やさしい
Which is one of The Joint Commission’s National Patient Safety Goals for hospitals?
- AIncrease the number of daily blood tests
- BImprove the accuracy of patient identification
- CReduce the cost of hospital meals and supplies
- DShorten visiting hours on every ward
2.やさしい
When is eye protection part of standard precautions?
- AOnly when caring for a patient who has an eye infection such as conjunctivitis
- BWhen splashes or sprays of blood or body fluids are likely
- COnly in the operating room
- DOnly when the patient is on airborne precautions
3.やさしい
百日咳の患者にはどの予防策を用いますか?
- A空気予防策
- B飛沫予防策
- C接触予防策
- D防護隔離(逆隔離)
4.ふつう
Why are some patients screened with a nasal swab for MRSA on admission?
- ATo find carriers so precautions or decolonization can be used
- BTo diagnose a sinus infection
- CTo check whether the patient is allergic to penicillin before surgery
- DTo measure the patient’s immunity to MRSA
5.ふつう
An order uses the abbreviation “MS”. Why is this unsafe?
- AIt is reserved for drugs used in multiple sclerosis
- BIt is the abbreviation for milliseconds, not a drug
- CIt can mean either morphine sulfate or magnesium sulfate
- DIt means the drug must be given by mouth only
6.ふつう
錠剤を渡す前に、患者が「この薬はいつもの薬と見た目が違う」と言いました。看護師はどうすべきですか?
- A投与前に手を止めて、指示と薬を再確認する
- B半分だけ渡して、異常な作用がないか観察する
- C病院ではどの薬も見た目が違うものだと患者に説明する
- D患者を安心させて錠剤を渡す
7.むずかしい
A child with fever, cough, red eyes and a spreading rash is in a clinic waiting room. Measles is suspected. What should the nurse do first?
- AAsk the family to wait in the main waiting room until the child is called in
- BGive the child an antipyretic and continue triage
- CSend the child home to rest without an assessment
- DPut a mask on the child and move them into an airborne isolation room
8.むずかしい
A patient sitting in a chair starts to have a generalized seizure. What should the nurse do?
- AEase the patient to the floor, protect the head and turn them on their side
- BLeave to get the provider, then return
- CHold the patient firmly in the chair until the seizure stops
- DPut a padded tongue blade between the teeth to protect the tongue and airway
解答
- 1. B · Improve the accuracy of patient identification
- 2. B · When splashes or sprays of blood or body fluids are likely
- 3. B · 飛沫予防策
- 4. A · To find carriers so precautions or decolonization can be used
- 5. C · It can mean either morphine sulfate or magnesium sulfate
- 6. A · 投与前に手を止めて、指示と薬を再確認する
- 7. D · Put a mask on the child and move them into an airborne isolation room
- 8. A · Ease the patient to the floor, protect the head and turn them on their side
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