1.やさしい
薬剤調整(medication reconciliation)とは何ですか?
- A毎月、病棟の在庫薬の使用期限を確認すること
- B各勤務の終わりに同僚と一緒に麻薬を数えること
- C転院・転棟のたびに、現在服用中の薬と新しい指示を照合すること
- D退院時に未使用の薬を薬局へ返すこと
2.やさしい
When should a nurse wash hands with soap and water rather than use an alcohol-based hand rub?
- ABefore putting on clean gloves
- BBefore every subcutaneous injection
- CWhen the hands are visibly soiled
- DAfter touching a patient’s bed rail
3.やさしい
In the fire extinguisher acronym PASS, what does the A stand for?
- AAim at the base of the fire
- BAlert the fire department
- CAssess the size of the room
- DActivate the fire alarm
4.ふつう
ラテックスアレルギーのある患者に最も適した安全対策はどれですか?
- Aラテックス手袋を使い、その後によく手を洗う
- B患者ケアでは手袋を一切使わない
- C粉付きのラテックス手袋だけを使う
- Dラテックスフリーの器材を使い、アレルギーを明確に記録する
5.ふつう
A patient has a weak left leg. Which instruction about using a cane is correct?
- AKeep the cane well out to the side, away from the body
- BMove the cane and the right leg forward together
- CHold the cane in the right hand, on the stronger side
- DHold the cane in the left hand, on the weaker side
6.ふつう
Which technique is correct when collecting a wound culture?
- ASwab the old pus on the dressing that was just removed from the wound
- BClean the wound with sterile saline first, then swab clean tissue
- CUse one swab to sample two different wounds
- DCollect the sample only after antibiotics have been started
7.むずかしい
A nurse often skips barcode scanning to save time, as many colleagues do. In a just culture, how is this behavior classed?
- AAcceptable behavior, because it is common on the unit
- BReckless behavior, managed by immediate dismissal and reporting to the licensing board
- CSimple human error, managed only by consoling the nurse and moving on
- DAt-risk behavior, managed by coaching and fixing the system pressures behind it
8.むずかしい
A patient restrained because of violent behavior is now calm, oriented and following instructions. What should the nurse do?
- ARemove the restraints, because the reason for them has ended
- BRemove one restraint each day to test the patient’s behavior
- CKeep the restraints until the next provider visit
- DKeep the restraints until the order expires
解答
- 1. C · 転院・転棟のたびに、現在服用中の薬と新しい指示を照合すること
- 2. C · When the hands are visibly soiled
- 3. A · Aim at the base of the fire
- 4. D · ラテックスフリーの器材を使い、アレルギーを明確に記録する
- 5. C · Hold the cane in the right hand, on the stronger side
- 6. B · Clean the wound with sterile saline first, then swab clean tissue
- 7. D · At-risk behavior, managed by coaching and fixing the system pressures behind it
- 8. A · Remove the restraints, because the reason for them has ended
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