1.やさしい
During a hospital fire evacuation, where are patients usually moved first?
- AStraight out of the building, whatever their condition
- BHorizontally, through fire doors to a safe area on the same floor
- CUpward, to the roof of the building where helicopters can reach them
- DDownward, using the elevators
2.やさしい
看護師がN95マスクを着用する前に必要なことは何ですか?
- A初めて使う前に石けんで洗うこと
- B下にサージカルマスクを着けること
- Cフィットテストと、着用のたびのシールチェック
- D何も不要(どの顔にも合う一つのサイズだから)
3.やさしい
What is the main safety purpose of needleless IV connectors?
- ATo make IV fluids flow faster
- BTo stop the patient from moving the IV line
- CTo reduce needlestick injuries to staff
- DTo remove the need for hand hygiene
4.ふつう
Which drugs are used as antidotes for nerve agent poisoning?
- AAtropine and pralidoxime
- BNaloxone and flumazenil
- CVitamin K and protamine
- DAcetylcysteine and charcoal
5.ふつう
Why are patients on long-term corticosteroids at higher risk from infections?
- ASteroids kill the patient’s normal skin bacteria
- BSteroids make the patient’s blood more acidic, which helps bacteria grow
- CSteroids only affect the risk of fungal skin rashes
- DSteroids suppress the immune response and can hide signs of infection
6.ふつう
A patient with difficulty swallowing is prescribed an extended-release tablet. What should the nurse do?
- AAsk the prescriber or pharmacist for another form and not crush the tablet
- BDissolve the tablet in a glass of hot water
- CCrush the tablet finely and mix it into a spoonful of applesauce or yogurt
- DCut the tablet in half so it is easier to swallow
7.むずかしい
A nurse has worked three long shifts in a row and feels exhausted. The manager asks the nurse to stay for another shift. What is the most appropriate response?
- AExplain that fatigue would make care unsafe and decline the extra shift
- BAgree, but skip the independent medication checks to save energy on the shift
- CAgree without telling anyone about the fatigue
- DAgree and drink extra coffee to stay alert
8.むずかしい
A patient receiving chemotherapy has an absolute neutrophil count of 400/mm3 (0.4 × 109/L) and a new temperature of 38.3 °C (100.9 °F). What should the nurse do?
- AGive an antipyretic and reassess at the next routine round
- BEncourage oral fluids and record the result in the chart
- CReport it at once, because fever with severe neutropenia is an emergency
- DRecheck the temperature in four hours before calling anyone about it
解答
- 1. B · Horizontally, through fire doors to a safe area on the same floor
- 2. C · フィットテストと、着用のたびのシールチェック
- 3. C · To reduce needlestick injuries to staff
- 4. A · Atropine and pralidoxime
- 5. D · Steroids suppress the immune response and can hide signs of infection
- 6. A · Ask the prescriber or pharmacist for another form and not crush the tablet
- 7. A · Explain that fatigue would make care unsafe and decline the extra shift
- 8. C · Report it at once, because fever with severe neutropenia is an emergency
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