1.やさしい
Why is the symbol “µg” avoided in medication orders?
- AIt is the symbol for micrograms of alcohol and is only used in laboratory reports
- BIt can only be used for intravenous drugs
- CIt can be misread as “mg”, giving a dose a thousand times too high
- DIt means “units per gram” in some countries
2.やさしい
How should waste contaminated with chemotherapy drugs be discarded?
- AIn the recycling bin with plastics
- BDown the sink with plenty of water
- CIn the general household-type trash bin on the ward, tied in a bag
- DIn a separate labeled container for hazardous drug waste
3.やさしい
Which item is “non-critical” and needs only cleaning and low-level disinfection between patients?
- AA flexible gastroscope
- BA central venous catheter
- CA blood pressure cuff
- DA set of surgical forceps
4.ふつう
Which type of white blood cell is most often raised in viral infections?
- ALymphocytes
- BNeutrophils
- CBasophils
- DEosinophils
5.ふつう
During a surgical hand scrub, how are the hands held?
- ABelow the elbows, so water runs off the fingertips into the sink
- BPointing downward into the sink at all times
- CAt the level of the waist, close to the body
- DAbove the elbows, so water runs from the fingertips toward the elbows
6.ふつう
A new antibiotic is prescribed for a patient. What should the nurse check before giving the first dose?
- AOnly the patient’s blood pressure and pulse before giving the drug
- BThe patient’s preferred pharmacy
- COnly the time of the patient’s last meal and drink
- DThe patient’s allergies, by checking the record and asking the patient
7.むずかしい
Ten minutes into a red blood cell transfusion, the patient reports chills and low back pain and has a new fever. What should the nurse do first?
- ACall the blood bank and let the transfusion continue
- BSlow the transfusion and recheck vital signs in 15 minutes
- CStop the transfusion
- DGive an antipyretic and continue the transfusion
8.むずかしい
A visitor is receiving an electric shock from a faulty lamp and is still touching it. What should the nurse do first?
- APull the visitor away from the lamp by the arm as quickly as possible
- BStart chest compressions straight away
- CSwitch off the power or unplug the lamp without touching the person
- DThrow water over the lamp to stop the current
解答
- 1. C · It can be misread as “mg”, giving a dose a thousand times too high
- 2. D · In a separate labeled container for hazardous drug waste
- 3. C · A blood pressure cuff
- 4. A · Lymphocytes
- 5. D · Above the elbows, so water runs from the fingertips toward the elbows
- 6. D · The patient’s allergies, by checking the record and asking the patient
- 7. C · Stop the transfusion
- 8. C · Switch off the power or unplug the lamp without touching the person
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