1.やさしい
Which precautions are used for a patient with Mycoplasma pneumoniae pneumonia?
- ADroplet precautions
- BStandard precautions only
- CContact precautions only
- DAirborne precautions
2.やさしい
Why is the symbol “µg” avoided in medication orders?
- AIt can be misread as “mg”, giving a dose a thousand times too high
- BIt can only be used for intravenous drugs
- CIt means “units per gram” in some countries
- DIt is the symbol for micrograms of alcohol and is only used in laboratory reports
3.やさしい
Malaria is passed to people through the bite of an infected mosquito. Which mode of transmission is this?
- AAirborne transmission
- BVector-borne transmission
- CDroplet transmission
- DDirect contact transmission
4.ふつう
A family member will visit a patient on contact precautions. What should the nurse do?
- ATell them visits are not allowed at all
- BShow them how to use the gown and gloves and how to clean their hands
- CAsk them to wear an N95 respirator only, with no gown or gloves
- DTell them precautions only apply to staff
5.ふつう
Where should the drainage bag of an indwelling urinary catheter be kept?
- AHung on the IV pole above the patient
- BOn the bed next to the patient’s hip
- CBelow the level of the bladder and off the floor
- DOn the floor under the bed, where it is out of the way
6.ふつう
A nurse wants to set up a sterile field in the morning for a procedure that will take place after lunch. What is correct?
- ASet it up in the morning and ask a colleague to check it once
- BSet it up just before the procedure, because a waiting field may become contaminated
- CSet it up in the morning and leave it uncovered in an empty room
- DSet it up in the morning and cover it with a clean towel until the procedure starts
7.むずかしい
In US nursing practice, which task should the RN not assign to an LPN/LVN?
- AReinforcing hand hygiene teaching that the RN has already given
- BGiving scheduled oral antibiotics to a stable patient
- CA dressing change on a healing surgical wound that has no signs of infection
- DThe initial admission assessment of a new patient with suspected sepsis
8.むずかしい
接触予防策中の患者のケアをしている看護師が、ガウンの袖が破れていることに気づきました。看護師はどうすべきですか?
- A破れが小さく袖だけなので、そのまま作業を続ける
- Bテープの切れ端で破れを覆って続ける
- C患者から離れ、出入口で安全にPPEを外し、手指を清潔にして、ガウンを着直す
- D破れたガウンの上に、もう1枚ガウンを重ねる
解答
- 1. A · Droplet precautions
- 2. A · It can be misread as “mg”, giving a dose a thousand times too high
- 3. B · Vector-borne transmission
- 4. B · Show them how to use the gown and gloves and how to clean their hands
- 5. C · Below the level of the bladder and off the floor
- 6. B · Set it up just before the procedure, because a waiting field may become contaminated
- 7. D · The initial admission assessment of a new patient with suspected sepsis
- 8. C · 患者から離れ、出入口で安全にPPEを外し、手指を清潔にして、ガウンを着直す
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