1.やさしい
Which signs are typical of a local infection in a wound?
- ARedness, warmth, swelling and pain
- BPallor, coolness and numbness
- CDry, flaky skin with mild itching
- DBluish skin and a weak distal pulse
2.やさしい
Which drug class is well known to increase the risk of falls in older adults?
- ABenzodiazepines
- BTopical skin moisturizers
- CBulk-forming laxatives
- DMultivitamins
3.やさしい
手袋の着用に関して、手指衛生はいつ必要ですか?
- A手袋をはめる前と外した後
- B手袋が破れたときだけ
- C不要(手袋が手指衛生の代わりになるから)
- D手袋をはめる前だけ
4.ふつう
A patient with diabetes will use lancets and insulin needles at home. Which teaching about disposal is correct?
- APut them loose in the household trash bag, as long as the bag is tied shut
- BPut them in a puncture-resistant container with a lid and follow local disposal rules
- CRecap each needle with two hands before putting it in the kitchen trash
- DFlush the used lancets and needles down the toilet
5.ふつう
Which drugs are used as antidotes for nerve agent poisoning?
- AAcetylcysteine and charcoal
- BAtropine and pralidoxime
- CNaloxone and flumazenil
- DVitamin K and protamine
6.ふつう
A patient with a fever and a cough arrives in a crowded clinic waiting room. What should the nurse do?
- ADo nothing until the patient is seen by the provider
- BGive the patient a mask and seat them apart from others
- CAsk the patient to wait outside in the car park
- DGive everyone else in the waiting room a mask instead
7.むずかしい
A nurse teaches a patient about care of a surgical incision at home. Which statement shows a need for further teaching?
- A“I will keep the dressing clean and dry as I was shown.”
- B“I will call the clinic if I get a fever or more pain around the wound.”
- C“I will wash my hands with soap before I touch or change the dressing.”
- D“If the wound gets red and drains pus, I will wait for my appointment next month.”
8.むずかしい
A patient who speaks little English is being discharged with new medications. The patient’s 12-year-old child offers to interpret. What should the nurse do?
- AUse simple English and many hand gestures
- BLet the child interpret, because the family prefers it
- CUse a professional medical interpreter
- DGive written instructions in English only
解答
- 1. A · Redness, warmth, swelling and pain
- 2. A · Benzodiazepines
- 3. A · 手袋をはめる前と外した後
- 4. B · Put them in a puncture-resistant container with a lid and follow local disposal rules
- 5. B · Atropine and pralidoxime
- 6. B · Give the patient a mask and seat them apart from others
- 7. D · “If the wound gets red and drains pus, I will wait for my appointment next month.”
- 8. C · Use a professional medical interpreter
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