1.やさしい
What is a “never event”?
- AAn event that has never been reported before
- BA serious, preventable event that should never happen, such as wrong-site surgery
- CAn event that only happens at night
- DA rare side effect of a drug that has never been described in the literature before
2.やさしい
滅菌野のうち、非滅菌とみなされる部分はどこですか?
- A滅菌野の中央
- B角だけ
- C空気にさらされた時点の滅菌野全体
- D外側の縁の約2.5 cm(1インチ)
3.やさしい
Where can a nurse find the hazards, safe handling and first-aid steps for a cleaning chemical used on the unit?
- AIn the patient’s nursing care plan
- BIn the Safety Data Sheet (SDS) for that product
- CIn the incident report form
- DIn the medication administration record for the patient in that room
4.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 family whether they understood the teaching
- CAsk the patient to explain in their own words how and when to take it
- DAsk “Do you understand?” and accept a yes
5.ふつう
病院の火災では、患者の移動手段として通常避けるのはどれですか?
- Aベッドを防火扉の向こうへ押していくこと
- B同じ階の防火扉の向こうの別の区域へ水平に移動すること
- C階段
- Dエレベーター
6.ふつう
A patient has patient-controlled analgesia (PCA). A family member presses the button while the patient sleeps. What should the nurse explain?
- AThe pump will always stop any overdose
- BOnly the patient should press it, because this keeps the system safe
- CFamily can press it as long as they count the presses
- DPressing it while the patient sleeps prevents the pain from getting worse later
7.むずかしい
入院時、自宅から持参した薬のリストに、病院の新しい指示にはない抗凝固薬が含まれています。看護師はどうすべきですか?
- A指示なしに自宅での用量を与える
- B患者に自分の薬を内緒で飲むよう伝える
- C食い違いについて指示者に確認する
- D病院の指示が自宅の薬に取って代わるので、無視する
8.むずかしい
A patient with pulmonary tuberculosis has been on treatment. Which findings usually allow airborne isolation to end?
- AThe patient has been in hospital for one week and has taken every dose of medicine
- BThree negative sputum smears, clinical improvement and continued therapy
- CThe cough has stopped, even with no sputum tests
- DOne negative chest x-ray after starting treatment
解答
- 1. B · A serious, preventable event that should never happen, such as wrong-site surgery
- 2. D · 外側の縁の約2.5 cm(1インチ)
- 3. B · In the Safety Data Sheet (SDS) for that product
- 4. C · Ask the patient to explain in their own words how and when to take it
- 5. D · エレベーター
- 6. B · Only the patient should press it, because this keeps the system safe
- 7. C · 食い違いについて指示者に確認する
- 8. B · Three negative sputum smears, clinical improvement and continued therapy
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