1.やさしい
How should a labeled specimen be sent to the laboratory?
- ALoose in the nurse’s uniform pocket so that it does not get lost on the way
- BIn a sealed biohazard bag, with the request form in the separate pocket
- CIn an open cup placed on the transport trolley
- DIn the same bag as the request form, touching the paper
2.やさしい
アルコール手指消毒薬は、どのくらいの時間すり込みますか?
- A手が乾くまで、約20~30秒
- B少なくとも5分
- C約2~3秒
- D手のひら全体にいきわたるまで
3.やさしい
An adult’s white blood cell count is 18,000/mm3 (18 × 109/L). How is this best described?
- AWithin the normal range
- BNormal for an older adult
- CRaised (leukocytosis)
- DLow (leukopenia)
4.ふつう
A patient has botulism after eating contaminated food. Which precautions are needed?
- AContact precautions
- BDroplet precautions
- CStandard precautions
- DAirborne precautions
5.ふつう
A nurse pours sterile saline into a bowl on a sterile field. Which technique is correct?
- AReach across the field to fill the bowl at the far side
- BRest the lip of the bottle on the edge of the bowl so that the saline does not splash
- CPour from below the level of the field to reduce splashing
- DHold the bottle with the label in the palm and pour without touching the bowl
6.ふつう
A peripheral IV site is red, warm and tender along the vein. What should the nurse do?
- AFlush the catheter harder to clear the vein and keep using the same site
- BApply a warm pack and keep using the same site
- CIncrease the infusion rate to finish the bag sooner
- DRemove the catheter and insert a new one at another site if still needed
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病院の指示が自宅の薬に取って代わるので、無視する
- B指示なしに自宅での用量を与える
- C患者に自分の薬を内緒で飲むよう伝える
- D食い違いについて指示者に確認する
8.むずかしい
An 82-year-old patient is prescribed diphenhydramine at bedtime for sleep. Why should the nurse raise this with the prescriber?
- AIt is strongly anticholinergic and can cause confusion and falls in older adults
- BIt raises blood pressure in most older adults
- CIt is too weak to help an older person sleep
- DIt is only available as an IV drug and cannot be given by mouth at bedtime
解答
- 1. B · In a sealed biohazard bag, with the request form in the separate pocket
- 2. A · 手が乾くまで、約20~30秒
- 3. C · Raised (leukocytosis)
- 4. C · Standard precautions
- 5. D · Hold the bottle with the label in the palm and pour without touching the bowl
- 6. D · Remove the catheter and insert a new one at another site if still needed
- 7. D · 食い違いについて指示者に確認する
- 8. A · It is strongly anticholinergic and can cause confusion and falls in older adults
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。