1.やさしい
転倒リスクの高い患者のベッドはどのような状態にしておくべきですか?
- A常に4本のベッド柵をすべて上げておく
- B最も高い位置にする
- C最も低い位置にし、ブレーキをかける
- Dすぐ動かせるようにブレーキを外しておく
2.やさしい
Why are rings and wristwatches discouraged during direct patient care?
- AThey can interfere with hospital Wi-Fi signals
- BThey can interfere with the readings of patient monitors
- CThey can hold organisms and make hand hygiene less effective
- DThey can scratch the hospital furniture
3.やさしい
0.5ミリグラムの用量はどう書くべきですか?
- A0.50 mg
- B1/2mg
- C0.5 mg
- D.5 mg
4.ふつう
Why are blood cultures usually taken from two separate venipuncture sites?
- ABecause each site tests a different antibiotic
- BTo help tell a true infection from skin contamination
- CTo reduce the total amount of blood taken
- DTo make the results come back faster from the laboratory
5.ふつう
A nurse pours sterile saline into a bowl on a sterile field. Which technique is correct?
- ARest the lip of the bottle on the edge of the bowl so that the saline does not splash
- BReach across the field to fill the bowl at the far side
- CPour from below the level of the field to reduce splashing
- DHold the bottle with the label in the palm and pour without touching the bowl
6.ふつう
A nurse gives part of a dose of an opioid from a vial and must discard the rest. What is correct?
- AReturn the rest to the patient’s medication drawer
- BKeep the rest for the patient’s next dose
- CDiscard it in front of a second licensed (registered) nurse, who witnesses and documents it
- DDiscard it alone in the sink and document the amount wasted later in the shift
7.むずかしい
転倒予防策が最も必要な患者はどれですか?
- A指を骨折したが、介助なしで安定して安全に歩ける若年成人
- B指示に従える、意識清明で安静臥床中の患者
- C最近混乱が出現し、鎮静薬を使用していて、歩行が不安定な高齢患者
- D退院を待っていて、自力で歩ける患者
8.むずかしい
A nurse floated to an unfamiliar unit is asked to manage a device they have never been trained to use. What should the nurse do?
- ALeave the device untouched and not tell anyone
- BDo it anyway, using only the device manual and the instructions on the screen
- CTell the charge nurse and ask for help or a change of assignment
- DAsk the patient or the family to explain how the device works
解答
- 1. C · 最も低い位置にし、ブレーキをかける
- 2. C · They can hold organisms and make hand hygiene less effective
- 3. C · 0.5 mg
- 4. B · To help tell a true infection from skin contamination
- 5. D · Hold the bottle with the label in the palm and pour without touching the bowl
- 6. C · Discard it in front of a second licensed (registered) nurse, who witnesses and documents it
- 7. C · 最近混乱が出現し、鎮静薬を使用していて、歩行が不安定な高齢患者
- 8. C · Tell the charge nurse and ask for help or a change of assignment
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