1.やさしい
Which is one of The Joint Commission’s National Patient Safety Goals for hospitals?
- AIncrease the number of daily blood tests
- BShorten visiting hours on every ward
- CReduce the cost of hospital meals and supplies
- DImprove the accuracy of patient identification
2.やさしい
季節性インフルエンザが確定した患者に用いる感染経路別予防策はどれですか?
- A手指衛生以外の予防策は不要
- B空気予防策
- C飛沫予防策
- D接触予防策のみ
3.やさしい
感染の連鎖のうち、手指衛生によって断ち切られるのはどの要素ですか?
- A感染経路
- B病原体の保有場所のみ
- C感受性宿主のみ
- D排出口のみ
4.ふつう
The laboratory calls with a critical lab result by phone. What should the nurse do?
- ARemember the value and enter it in the chart at the end of the shift
- BWait for the printed report to arrive before telling the provider about it
- CTell the patient the result first and then call the provider
- DWrite it down, read it back to confirm and report it to the provider promptly
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
台の上で滅菌パックを開けるとき、最初に開くのはどのフラップですか?
- A看護師から最も遠いフラップ
- B最も手が届きやすい側のフラップ
- C看護師に最も近いフラップ
- Dすべてのフラップを一度に
7.むずかしい
A nurse notices that the pharmacy has sent the wrong dose and corrects it before giving it. Should the event be reported?
- ANo, because reporting near misses only blames the pharmacy staff for nothing
- BNo, because the patient was not harmed
- CYes, near misses are reported so system weaknesses can be fixed
- DOnly if the same error happens three times
8.むずかしい
A nurse asks a colleague to “just glance” at an insulin infusion before starting it. What makes a check truly independent?
- AThe second nurse checks the order, drug, dose and pump settings separately without being told the answer
- BThe second nurse looks at the bag label from the doorway
- CThe first nurse reads the details aloud and the second agrees
- DThe second nurse signs the record after the infusion has already been started by the first
解答
- 1. D · Improve the accuracy of patient identification
- 2. C · 飛沫予防策
- 3. A · 感染経路
- 4. D · Write it down, read it back to confirm and report it to the provider promptly
- 5. D · Hold the bottle with the label in the palm and pour without touching the bowl
- 6. A · 看護師から最も遠いフラップ
- 7. C · Yes, near misses are reported so system weaknesses can be fixed
- 8. A · The second nurse checks the order, drug, dose and pump settings separately without being told the answer
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