1.やさしい
Which PPE is needed when a nurse draws blood from a vein?
- AAn N95 respirator
- BA sterile gown
- CGloves
- DA full face shield and boots
2.やさしい
指示書に末尾のゼロ(例:「5.0 mg」)を書いてはいけないのはなぜですか?
- A静脈内投与の薬にのみ認められるから
- B小数点を見落とすと50 mgになるから
- C読み間違えると用量が10分の1になるから
- Dラベルの薬剤名が変わることがあるから
3.やさしい
Which device warns staff when a patient at high risk of falls starts to get up?
- AA pulse oximeter
- BA bed or chair exit alarm
- CAn infusion pump occlusion alarm
- DA cardiac monitor
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身長と体重
- B時計を使った両耳の聴力
- Cその日の飲食の好み
- D抑制具より末梢の循環、感覚、皮膚
5.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 wipe is used on many pumps to save product
- DThe surface stays wet for the contact time on the product label
6.ふつう
An order reads “Give potassium chloride by IV push.” What should the nurse do?
- ADilute it in a small syringe and push it
- BGive it slowly by IV push over two minutes while watching the cardiac monitor
- CGive half by IV push and the rest later
- DNot give it, and contact the prescriber, because it is never given by IV push
7.むずかしい
A nurse asks a colleague to “just glance” at an insulin infusion before starting it. What makes a check truly independent?
- AThe second nurse looks at the bag label from the doorway
- BThe second nurse checks the order, drug, dose and pump settings separately without being told the answer
- CThe second nurse signs the record after the infusion has already been started by the first
- DThe first nurse reads the details aloud and the second agrees
8.むずかしい
While preparing an IV medication, a nurse sees that the syringe tip touched the medication tray after the cap came off. What should the nurse do?
- ABlow on the tip to remove any dust
- BGive the dose anyway, because the medication tray was cleaned this morning
- CDiscard the syringe and prepare the dose again with new equipment
- DWipe the tip with an alcohol swab and give the dose
解答
- 1. C · Gloves
- 2. B · 小数点を見落とすと50 mgになるから
- 3. B · A bed or chair exit alarm
- 4. D · 抑制具より末梢の循環、感覚、皮膚
- 5. D · The surface stays wet for the contact time on the product label
- 6. D · Not give it, and contact the prescriber, because it is never given by IV push
- 7. B · The second nurse checks the order, drug, dose and pump settings separately without being told the answer
- 8. C · Discard the syringe and prepare the dose again with new equipment
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