1.やさしい
Malaria is passed to people through the bite of an infected mosquito. Which mode of transmission is this?
- AAirborne transmission
- BVector-borne transmission
- CDroplet transmission
- DDirect contact transmission
2.やさしい
When should a nurse wash hands with soap and water rather than use an alcohol-based hand rub?
- ABefore every subcutaneous injection
- BWhen the hands are visibly soiled
- CAfter touching a patient’s bed rail
- DBefore putting on clean gloves
3.やさしい
Which precautions are used for a child with impetigo?
- AAirborne precautions
- BContact precautions
- CDroplet precautions
- DA protective environment
4.ふつう
患者の識別リストバンドが外れています。与薬の時間になっています。看護師はどうすべきですか?
- A昨日から知っている患者なので、与薬する
- B部屋番号とベッド番号で本人確認をする
- C2つの識別情報で本人確認を行い、先に新しいリストバンドを付ける
- D翌日まで与薬を見送る
5.ふつう
A patient with a respiratory infection has a raised procalcitonin level. What does this most suggest?
- AAn allergic reaction to a recent medication
- BDehydration from poor intake
- CA purely viral illness
- DA bacterial rather than a viral infection
6.ふつう
When should the transparent dressing over a peripheral IV site be changed?
- AEvery hour, so the site can be cleaned again
- BWhen it is damp, loose or visibly soiled
- COnly when the IV catheter is removed, whatever its state
- DOnly when the patient asks for a new dressing
7.むずかしい
A patient has a rash, and both smallpox and chickenpox are considered. Which finding suggests smallpox?
- ALesions at different stages, most dense on the trunk
- BSmall crops of new lesions appearing over several days in a row
- CA rash that is very itchy and starts on the trunk
- DLesions all at the same stage, most dense on the face and limbs
8.むずかしい
A patient on oxygen needs an MRI scan. Which plan is safe?
- ATake the usual steel cylinder into the room if it is tightly strapped to the trolley frame
- BRemove the oxygen for the scan without telling anyone
- CUse only MRI-safe equipment, and never take a standard steel oxygen cylinder into the scanner room
- DLeave the steel cylinder on the patient’s bed during the scan
解答
- 1. B · Vector-borne transmission
- 2. B · When the hands are visibly soiled
- 3. B · Contact precautions
- 4. C · 2つの識別情報で本人確認を行い、先に新しいリストバンドを付ける
- 5. D · A bacterial rather than a viral infection
- 6. B · When it is damp, loose or visibly soiled
- 7. D · Lesions all at the same stage, most dense on the face and limbs
- 8. C · Use only MRI-safe equipment, and never take a standard steel oxygen cylinder into the scanner room
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