1.やさしい
A drug was prescribed by a provider and dispensed by a pharmacist. Who is accountable for checking it before giving it?
- AOnly the prescriber
- BOnly the pharmacist
- CThe nurse who gives it
- DThe nurse manager on duty
2.やさしい
In the chain of infection, a contaminated bedside table where bacteria live and multiply is an example of which link?
- AThe susceptible host
- BThe reservoir
- CThe portal of exit
- DThe portal of entry
3.やさしい
Which of these counts as a physical restraint?
- APlacing the bed in its lowest position
- BRaising all four side rails to stop a patient from getting out of bed
- CUsing a bed exit alarm for a patient at high risk of falling at night
- DUsing a gait belt while helping a patient walk in the corridor
4.ふつう
A patient is on suicide precautions. Which room safety measure is appropriate?
- AKeep the door closed at all times so the patient has privacy
- BRemove items that could be used for self-harm, such as belts and cords
- CLet the patient keep a personal razor for shaving, as long as staff are told
- DAllow glass bottles if the patient seems calm
5.ふつう
How are neuromuscular blocking drugs, such as vecuronium, safely stored?
- ANext to common IV antibiotics so they are easy to find
- BIn the general stock cupboard with the other IV drugs and no special labels
- CSeparate from other drugs, with a warning that they cause paralysis
- DMixed in the same bin as other high-use drugs
6.ふつう
A patient has botulism after eating contaminated food. Which precautions are needed?
- ADroplet precautions
- BAirborne precautions
- CStandard precautions
- DContact precautions
7.むずかしい
A nurse teaches parents about firearm safety at home. Which statement shows a need for further teaching?
- A“We keep the gun loaded in the nightstand, and the children know not to touch it.”
- B“We store the gun unloaded in a locked safe in the bedroom.”
- C“We will ask other parents about guns before play dates.”
- D“We keep all the ammunition locked away separately from the gun.”
8.むずかしい
A nurse discovers that an insulin infusion was programmed using the wrong drug concentration in the pump library. What should the nurse do first?
- ALeave it running and check the glucose at the next routine time
- BStop the infusion and check the patient’s blood glucose
- CDouble the rate to correct for the error
- DReprogram the pump and finish the shift before reporting
解答
- 1. C · The nurse who gives it
- 2. B · The reservoir
- 3. B · Raising all four side rails to stop a patient from getting out of bed
- 4. B · Remove items that could be used for self-harm, such as belts and cords
- 5. C · Separate from other drugs, with a warning that they cause paralysis
- 6. C · Standard precautions
- 7. A · “We keep the gun loaded in the nightstand, and the children know not to touch it.”
- 8. B · Stop the infusion and check the patient’s blood glucose
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