1.やさしい
What are the three parts of the Universal Protocol for preventing wrong-site surgery?
- AConsent, anesthesia and a recovery room check
- BSponge count, instrument count and needle count
- CHand hygiene, gowning and gloving
- DPre-procedure verification, site marking and a time-out
2.やさしい
四肢抑制具のストラップはどこに固定すべきですか?
- Aマットレスの取っ手に、固い本結びで
- Bベッドフレームに、すぐ解ける結び方で
- Cベッド柵に、しっかりした二重結びで
- D動かせるように、ベッドサイドテーブルに
3.やさしい
How many times is a medication label usually checked against the order during preparation?
- AThree times
- BFive times
- CTwice
- DOnce only
4.ふつう
A patient with a respiratory infection has a raised procalcitonin level. What does this most suggest?
- AA bacterial rather than a viral infection
- BDehydration from poor intake
- CAn allergic reaction to a recent medication
- DA purely viral illness
5.ふつう
When walking with axillary crutches, where should the patient’s weight be taken?
- AOn the hands, with the crutch tops a few finger widths below the armpits
- BOn the elbows, kept bent at a right angle with the crutch tops tucked under the arms
- COn the shoulders, with the crutches pressed upward
- DOn the armpits, resting on the crutch tops
6.ふつう
When is a prophylactic antibiotic usually given to prevent a surgical site infection?
- AOne week before surgery
- BWithin about 60 minutes before the incision
- CThe day after surgery, once the wound is closed
- DOnly if a fever develops after surgery
7.むずかしい
A nurse has a needlestick from a patient with hepatitis B. The nurse finished the vaccine series and has a documented protective antibody level. Which statement is correct?
- ANo hepatitis B treatment is needed, but the injury is still reported and followed up
- BNo reporting is needed because the nurse is immune
- CThe nurse must stop all patient care for six months
- DHepatitis B immune globulin and a complete new vaccine series are both needed at once
8.むずかしい
A nurse discovers that an insulin infusion was programmed using the wrong drug concentration in the pump library. What should the nurse do first?
- ADouble the rate to correct for the error
- BStop the infusion and check the patient’s blood glucose
- CReprogram the pump and finish the shift before reporting
- DLeave it running and check the glucose at the next routine time
解答
- 1. D · Pre-procedure verification, site marking and a time-out
- 2. B · ベッドフレームに、すぐ解ける結び方で
- 3. A · Three times
- 4. A · A bacterial rather than a viral infection
- 5. A · On the hands, with the crutch tops a few finger widths below the armpits
- 6. B · Within about 60 minutes before the incision
- 7. A · No hepatitis B treatment is needed, but the injury is still reported and followed up
- 8. B · Stop the infusion and check the patient’s blood glucose
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