1.やさしい
季節性インフルエンザが確定した患者に用いる感染経路別予防策はどれですか?
- A飛沫予防策
- B手指衛生以外の予防策は不要
- C空気予防策
- D接触予防策のみ
2.やさしい
Which procedure requires surgical asepsis (sterile technique)?
- AInserting an indwelling urinary catheter
- BMeasuring blood pressure on the upper arm
- CGiving a bed bath
- DGiving an oral medication through the mouth
3.やさしい
Which precautions are used for a child with impetigo?
- AA protective environment
- BContact precautions
- CDroplet precautions
- DAirborne precautions
4.ふつう
A family member tells the nurse, “My father is not himself. Something is wrong.” The hospital has a family-activated rapid response system. What is correct?
- AThe family can call the rapid response team if they are worried and staff have not responded
- BOnly doctors may call the rapid response team
- CThe family must wait for the next scheduled ward round to raise the concern with a doctor
- DThe family should call emergency services from outside the hospital
5.ふつう
A patient has received oral radioactive iodine therapy. Which precaution is usually taken?
- ALimit time close to the patient and handle body fluids per radiation policy
- BEncourage pregnant visitors to sit close to the patient to give emotional support
- CLet the patient share a bathroom with other patients
- DPlace the patient on droplet precautions with a surgical mask
6.ふつう
A nurse’s hands are dry and cracked from frequent hand hygiene. What is the best approach?
- AUse any lotion from home, whatever its contents
- BUse the hand lotion approved by the facility to keep the skin intact
- CStop hand hygiene until the skin heals
- DWear gloves all day instead of cleaning the hands between patients
7.むずかしい
A patient arrives in the operating room for knee surgery, and the site has not been marked. What should happen?
- AStart the surgery, because the consent form shows the side
- BLet the circulating nurse mark the site from memory of the surgeon’s plan
- CMark the site after the patient is anesthetized and draped
- DDo not start until the site is marked and verified with the patient
8.むずかしい
Several patients arrive with suspected inhalational anthrax after a deliberate release. Which precautions are needed for their care?
- AStandard precautions, because it is not spread from person to person
- BContact precautions with gowns and gloves
- CAirborne precautions in negative-pressure rooms, because spores are inhaled
- DDroplet precautions with surgical masks
解答
- 1. A · 飛沫予防策
- 2. A · Inserting an indwelling urinary catheter
- 3. B · Contact precautions
- 4. A · The family can call the rapid response team if they are worried and staff have not responded
- 5. A · Limit time close to the patient and handle body fluids per radiation policy
- 6. B · Use the hand lotion approved by the facility to keep the skin intact
- 7. D · Do not start until the site is marked and verified with the patient
- 8. A · Standard precautions, because it is not spread from person to person
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