1.やさしい
Which footwear is safest for a hospitalized patient who is walking?
- ALoose slippers with an open heel that are easy to slide on
- BBare feet on the polished floor
- COrdinary cotton socks with no grip on the soles
- DNon-slip socks or well-fitting shoes with non-slip soles
2.やさしい
How should a labeled specimen be sent to the laboratory?
- AIn a sealed biohazard bag, with the request form in the separate pocket
- BIn the same bag as the request form, touching the paper
- CIn an open cup placed on the transport trolley
- DLoose in the nurse’s uniform pocket so that it does not get lost on the way
3.やさしい
What is an adverse event in patient safety?
- AA side effect that is listed and explained before treatment
- BAn error that is noticed before it reaches the patient
- CA complaint from a patient about the hospital food
- DHarm to a patient caused by health care, not by the illness
4.ふつう
A nurse’s hands are dry and cracked from frequent hand hygiene. What is the best approach?
- AStop hand hygiene until the skin heals
- BWear gloves all day instead of cleaning the hands between patients
- CUse any lotion from home, whatever its contents
- DUse the hand lotion approved by the facility to keep the skin intact
5.ふつう
Why is blood glucose control important around the time of surgery?
- AGlucose levels only affect patients who have type 1 diabetes
- BLow glucose is needed around surgery so that the wound edges close more quickly
- CHigh glucose impairs white cell function and raises the risk of surgical site infection
- DHigh glucose makes anesthetic drugs work for much longer and delays waking up
6.ふつう
A patient is admitted to an inpatient mental health unit. Why are personal belongings checked?
- ATo make a list of valuable items for insurance
- BTo decide which family members may visit
- CTo remove items that could be used to harm self or others
- DTo find out what the patient likes to wear during the hospital stay
7.むずかしい
重度の認知症の患者が夜間に一人でベッドから出て、2回転倒しています。最も適切な計画はどれですか?
- A4本のベッド柵を上げ、静かにするため夜間はドアを閉める
- B低いベッド、ベッドアラーム、排泄誘導の巡回、常夜灯、滑り止め付き靴下
- C夜間は患者を椅子に縛りつける
- Dベッドにとどまらせるため、毎晩鎮静薬を投与する
8.むずかしい
A nurse has a needlestick from a patient whose HIV and hepatitis status is unknown. What should happen?
- AThe nurse waits six months before having any blood tests at all
- BThe source patient is tested per policy, and the nurse has baseline tests
- CNothing, because the source patient is probably not infected
- DThe nurse is assumed to be infected and stops all work
解答
- 1. D · Non-slip socks or well-fitting shoes with non-slip soles
- 2. A · In a sealed biohazard bag, with the request form in the separate pocket
- 3. D · Harm to a patient caused by health care, not by the illness
- 4. D · Use the hand lotion approved by the facility to keep the skin intact
- 5. C · High glucose impairs white cell function and raises the risk of surgical site infection
- 6. C · To remove items that could be used to harm self or others
- 7. B · 低いベッド、ベッドアラーム、排泄誘導の巡回、常夜灯、滑り止め付き靴下
- 8. B · The source patient is tested per policy, and the nurse has baseline tests
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