1.やさしい
Which syringe is used to measure a dose of insulin?
- AA 5 mL syringe marked in mL
- BA tuberculin syringe marked in mL
- CAn insulin syringe marked in units
- DAn oral syringe marked in mL
2.やさしい
疥癬の患者にはどの予防策が必要ですか?
- A特別な予防策は不要
- B接触予防策
- C飛沫予防策
- D空気予防策
3.やさしい
What is seclusion?
- APlacing a patient on contact precautions in a single room with the door closed
- BKeeping a patient alone in a room or area that they are prevented from leaving
- CMoving a patient to a private room at their request
- DClosing the curtains during personal care
4.ふつう
A newly hired nurse had BCG vaccine as a child. Which TB screening test is usually preferred?
- AAn interferon-gamma release assay (IGRA) blood test
- BNo screening, because BCG prevents all TB
- CA tuberculin skin test, which is read 24 hours after it is placed
- DA chest x-ray every month for the first year
5.ふつう
A confused patient keeps pulling at an IV line. Which is a less restrictive option to consider before wrist restraints?
- ATying both arms to the bed frame
- BGiving a sedative every few hours
- CUsing a vest restraint in the chair so that the patient’s hands stay down
- DCovering the site with a sleeve or using hand mitts with supervision
6.ふつう
Where should the dispersive (grounding) pad for electrosurgery be placed?
- AOver a bony prominence such as the hip bone
- BOn clean, dry skin over a well-perfused muscle, close to the surgical site
- COver an area with scar tissue or a tattoo, so that the pad does not slip
- DOn skin that is wet with antiseptic prep
7.むずかしい
夜勤の看護師が、「今夜は少ない人数で対応できるように」と、おとなしく徘徊している患者の抑制を提案しました。正しい応答はどれですか?
- A朝に外すのであれば、抑制は認められる
- B家族が事前に書面で同意すれば、抑制は認められる
- C人手が少ない夜間なら、抑制は認められる
- D抑制は決して職員の都合のために行わない。巡視や付き添いを使う
8.むずかしい
A patient refuses to wear an identification wristband. What should the nurse do?
- AStop giving the patient any care until they agree to wear the band
- BAccept the refusal and identify the patient by room number and bed space instead
- CForce the band onto the patient’s wrist
- DExplain why it is needed, use other ID methods per policy and document
解答
- 1. C · An insulin syringe marked in units
- 2. B · 接触予防策
- 3. B · Keeping a patient alone in a room or area that they are prevented from leaving
- 4. A · An interferon-gamma release assay (IGRA) blood test
- 5. D · Covering the site with a sleeve or using hand mitts with supervision
- 6. B · On clean, dry skin over a well-perfused muscle, close to the surgical site
- 7. D · 抑制は決して職員の都合のために行わない。巡視や付き添いを使う
- 8. D · Explain why it is needed, use other ID methods per policy and document
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