1.やさしい
Why are rings and wristwatches discouraged during direct patient care?
- AThey can interfere with the readings of patient monitors
- BThey can scratch the hospital furniture
- CThey can interfere with hospital Wi-Fi signals
- DThey can hold organisms and make hand hygiene less effective
2.やさしい
When should a nurse wash hands with soap and water rather than use an alcohol-based hand rub?
- ABefore every subcutaneous injection
- BBefore putting on clean gloves
- CWhen the hands are visibly soiled
- DAfter touching a patient’s bed rail
3.やさしい
Which infection is mainly spread through blood and is a major risk after a needlestick injury?
- ANorovirus
- BHepatitis B
- CHepatitis A
- DSeasonal influenza
4.ふつう
患者が手首の抑制を受けている間、最も重要なアセスメントはどれですか?
- Aその日の飲食の好み
- B抑制具より末梢の循環、感覚、皮膚
- C時計を使った両耳の聴力
- D身長と体重
5.ふつう
看護師が、HIV陽性と分かっている患者から針刺し事故を受けました。直ちに報告することが重要なのはなぜですか?
- A曝露後予防投与は、数時間以内に開始するのが最も効果的だから
- B1か月以内ならいつ報告してもリスクは変わらないから
- C静脈内注射の針による事故のときだけ報告が必要だから
- D傷から出血した場合や深い場合にだけ報告が必要だから
6.ふつう
After teaching a patient about a new medication, how does the nurse best check understanding?
- AGive a printed leaflet about the drug and assume the patient will read it at home
- BAsk the patient to explain in their own words how and when to take it
- CAsk the family whether they understood the teaching
- DAsk “Do you understand?” and accept a yes
7.むずかしい
A patient was harmed by a medication error and asks the nurse what happened. Which approach is best?
- ATell the patient nothing happened to avoid worry
- BBlame the pharmacy for the error so that the nurse and the ward are not at fault
- CTell the patient to make a formal complaint to find out
- DBe honest that an error occurred and involve the provider and team in disclosure per policy
8.むずかしい
窒息のリスクがある意識清明な患者に、経口薬を与えています。最も安全な実践はどれですか?
- A許可されているか確認せずに、すべての錠剤を砕く
- B時間を節約するため、すべての錠剤を一度に与える
- C飲み込みやすいよう、患者を仰臥位に寝かせる
- D患者を座位にして、錠剤を1錠ずつ与える
解答
- 1. D · They can hold organisms and make hand hygiene less effective
- 2. C · When the hands are visibly soiled
- 3. B · Hepatitis B
- 4. B · 抑制具より末梢の循環、感覚、皮膚
- 5. A · 曝露後予防投与は、数時間以内に開始するのが最も効果的だから
- 6. B · Ask the patient to explain in their own words how and when to take it
- 7. D · Be honest that an error occurred and involve the provider and team in disclosure per policy
- 8. D · 患者を座位にして、錠剤を1錠ずつ与える
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