1.やさしい
What are the three parts of the Universal Protocol for preventing wrong-site surgery?
- ASponge count, instrument count and needle count
- BConsent, anesthesia and a recovery room check
- CHand hygiene, gowning and gloving
- DPre-procedure verification, site marking and a time-out
2.やさしい
Which symbol must appear on containers of regulated medical waste?
- AThe flammable flame symbol
- BThe corrosive symbol
- CThe biohazard symbol
- DThe radiation trefoil
3.やさしい
What is a safety huddle?
- AA meeting between the patient and their lawyer
- BA formal disciplinary meeting held after a staff member makes an error
- CA long monthly meeting about staff holidays
- DA short team meeting to share current risks and the plan for the shift
4.ふつう
A nurse’s hands are dry and cracked from frequent hand hygiene. What is the best approach?
- AWear gloves all day instead of cleaning the hands between patients
- BUse the hand lotion approved by the facility to keep the skin intact
- CUse any lotion from home, whatever its contents
- DStop hand hygiene until the skin heals
5.ふつう
A colleague has drawn up a medication and asks the nurse to give it to her patient. What should the nurse do?
- AGive it, and document that the colleague prepared it
- BGive it, as long as the syringe has a label with the drug name on it
- CGive it, because the colleague is experienced
- DDecline, and give only medications that the nurse prepared or checked personally
6.ふつう
A nurse cleans an IV pump with a disinfectant wipe. What must happen for the disinfectant to work?
- AThe surface is dried with a clean towel right after wiping
- BThe surface is wiped once lightly without pressure
- CThe surface stays wet for the contact time on the product label
- DThe wipe is used on many pumps to save product
7.むずかしい
A nurse has weeping dermatitis on both hands. What is the most appropriate action?
- ACover the lesions with a waterproof bandage and keep working with patients as usual
- BContinue care as usual and wear one pair of gloves
- CUse extra alcohol hand rub on the lesions
- DAvoid direct patient care and handling of equipment until it heals, and see occupational health
8.むずかしい
A visitor becomes very agitated and starts shouting at the nurse in a patient’s room. What should the nurse do first?
- AKeep a safe distance and a clear exit, speak calmly and call security if needed
- BTurn away from the visitor and continue with the patient’s care as normal
- CRaise the voice to show who is in charge
- DTouch the visitor’s arm to help them calm down
解答
- 1. D · Pre-procedure verification, site marking and a time-out
- 2. C · The biohazard symbol
- 3. D · A short team meeting to share current risks and the plan for the shift
- 4. B · Use the hand lotion approved by the facility to keep the skin intact
- 5. D · Decline, and give only medications that the nurse prepared or checked personally
- 6. C · The surface stays wet for the contact time on the product label
- 7. D · Avoid direct patient care and handling of equipment until it heals, and see occupational health
- 8. A · Keep a safe distance and a clear exit, speak calmly and call security if needed
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