1.やさしい
After washing hands at a sink with hand-operated taps, how should the nurse turn off the water?
- AWith a clean, dry paper towel
- BThe tap is left running for the next person
- CWith the freshly washed hands
- DWith the bare forearm before drying
2.やさしい
In the CDC sequence that removes each item separately, which piece of PPE is taken off first?
- AGown
- BGloves
- CMask or respirator
- DGoggles or face shield
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手袋が破れたときだけ
- B手袋をはめる前だけ
- C手袋をはめる前と外した後
- D不要(手袋が手指衛生の代わりになるから)
4.ふつう
患者の血液が誤って目に飛び込んだ後、看護師は何をすべきですか?
- A直ちに大量の水または生理食塩水で目を洗い、その後に報告する
- Bまず清潔で乾いたティッシュで目をそっとこすって血液を取る
- C処置を終えてから、翌日に報告する
- D抗菌薬の点眼をして、誰にも言わない
5.ふつう
A patient has orthostatic hypotension. Which teaching helps to prevent falls?
- AGet out of bed quickly so the dizziness passes sooner
- BAvoid drinking fluids in the morning to reduce trips to the toilet
- CSit on the edge of the bed for a short time before standing up slowly
- DStand up straight after a hot shower to increase blood flow
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
- BRemove the catheter and insert a new one at another site if still needed
- CApply a warm pack and keep using the same site
- DIncrease the infusion rate to finish the bag sooner
7.むずかしい
During a procedure, a nurse sees that the team is about to start without a time-out. What should the nurse do?
- ASpeak up clearly and stop the start until the time-out is done
- BReport it to the manager at the end of the week
- CWait and raise the issue after the procedure is finished
- DSay nothing, because the surgeon is responsible for the procedure
8.むずかしい
Shortly after a patient falls, the team holds a brief “post-fall huddle”. What is its main purpose?
- ATo find out quickly why the fall happened and change the care plan to prevent another
- BTo complete the patient’s discharge paperwork
- CTo decide which staff member was to blame for the fall
- DTo agree on what the team will tell the patient’s lawyer and the family
解答
- 1. A · With a clean, dry paper towel
- 2. B · Gloves
- 3. C · 手袋をはめる前と外した後
- 4. A · 直ちに大量の水または生理食塩水で目を洗い、その後に報告する
- 5. C · Sit on the edge of the bed for a short time before standing up slowly
- 6. B · Remove the catheter and insert a new one at another site if still needed
- 7. A · Speak up clearly and stop the start until the time-out is done
- 8. A · To find out quickly why the fall happened and change the care plan to prevent another
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