1.やさしい
What is the main difference between an N95 respirator and a surgical mask?
- AAn N95 is only worn by patients, and surgical masks only by staff
- BA surgical mask filters smaller particles than an N95
- CThere is no real difference, so they can be swapped freely for any type of precautions
- DAn N95 filters small airborne particles, while a surgical mask mainly blocks droplets
2.やさしい
Why is a Gram stain often done on a specimen before the culture result is ready?
- AIt quickly sorts bacteria into groups that help choose early treatment
- BIt shows exactly which antibiotic will work
- CIt confirms whether the patient has a virus and which virus it is
- DIt measures the number of white cells in the blood
3.やさしい
Surgical instruments that enter sterile tissue are “critical” items. Which processing do they need before reuse?
- ACleaning with detergent and water only
- BHigh-level disinfection
- CSterilization
- DLow-level disinfection
4.ふつう
Which room lighting is safest at night for a patient at high risk of falls?
- AComplete darkness so the patient sleeps more deeply
- BOnly the light from the television screen
- CBright overhead lights left on all night in the room
- DA low night light that lights the path to the bathroom
5.ふつう
看護師が2人の患者の薬を準備しています。最も安全な方法はどれですか?
- A時間を節約するため、2人の薬を一緒に準備する
- B1人の患者ごとに薬を準備して与薬する
- C2人の薬を1つのカップに入れ、ベッドサイドで仕分ける
- D一方の患者に、もう一方の患者に薬を渡すよう頼む
6.ふつう
Which measure is part of the bundle for inserting a central venous catheter to prevent bloodstream infection?
- AGiving antibiotics to every patient before insertion
- BChlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
- CRoutine replacement of the catheter on a fixed schedule, such as every three days
- DChoosing the femoral vein as the first site in adults
7.むずかしい
A newly hired nurse has these hepatitis B results: HBsAg negative, anti-HBs positive, anti-HBc negative. What do they show?
- ANo immunity, so the vaccine is needed
- BImmunity from hepatitis B vaccination
- CPast infection that has now cleared
- DA current hepatitis B infection
8.むずかしい
A hospital will introduce new infusion pumps and wants to find out how the process could fail before any harm occurs. Which method fits best?
- ARoot cause analysis (RCA) of the new pumps
- BAn incident report for each new pump
- CFailure mode and effects analysis (FMEA)
- DA morbidity and mortality meeting
解答
- 1. D · An N95 filters small airborne particles, while a surgical mask mainly blocks droplets
- 2. A · It quickly sorts bacteria into groups that help choose early treatment
- 3. C · Sterilization
- 4. D · A low night light that lights the path to the bathroom
- 5. B · 1人の患者ごとに薬を準備して与薬する
- 6. B · Chlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
- 7. B · Immunity from hepatitis B vaccination
- 8. C · Failure mode and effects analysis (FMEA)
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