1.やさしい
What is a “never event”?
- AA rare side effect of a drug that has never been described in the literature before
- BAn event that has never been reported before
- CAn event that only happens at night
- DA serious, preventable event that should never happen, such as wrong-site surgery
2.やさしい
How should a labeled specimen be sent to the laboratory?
- AIn a sealed biohazard bag, with the request form in the separate pocket
- BIn an open cup placed on the transport trolley
- CLoose in the nurse’s uniform pocket so that it does not get lost on the way
- DIn the same bag as the request form, touching the paper
3.やさしい
In START triage, which casualties are tagged green (minor)?
- AThose who are breathing more than 30 times a minute
- BThose who cannot follow simple commands
- CThose who are not breathing after the airway is opened
- DThose who can walk to a designated area on their own
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粉付きのラテックス手袋だけを使う
- Bラテックス手袋を使い、その後によく手を洗う
- C患者ケアでは手袋を一切使わない
- 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 botulism after eating contaminated food. Which precautions are needed?
- AAirborne precautions
- BContact precautions
- CDroplet precautions
- DStandard precautions
6.ふつう
A family member tells the nurse, “My father is not himself. Something is wrong.” The hospital has a family-activated rapid response system. What is correct?
- AThe family should call emergency services from outside the hospital
- BThe family must wait for the next scheduled ward round to raise the concern with a doctor
- CThe family can call the rapid response team if they are worried and staff have not responded
- DOnly doctors may call the rapid response team
7.むずかしい
患者にハイリスク薬が持続注入で投与されています。申し送りのとき、最も安全な実践はどれですか?
- A勤務を始める看護師が、勤務の終わりに確認する
- B両方の看護師が、ポンプとバッグを処方と照らし合わせて確認する
- C勤務を終える看護師が、詰所で「ポンプは問題ありません」と言う
- D速度だけを確認し、薬や濃度は確認しない
8.むずかしい
夜勤の看護師が、「今夜は少ない人数で対応できるように」と、おとなしく徘徊している患者の抑制を提案しました。正しい応答はどれですか?
- A人手が少ない夜間なら、抑制は認められる
- B朝に外すのであれば、抑制は認められる
- C家族が事前に書面で同意すれば、抑制は認められる
- D抑制は決して職員の都合のために行わない。巡視や付き添いを使う
解答
- 1. D · A serious, preventable event that should never happen, such as wrong-site surgery
- 2. A · In a sealed biohazard bag, with the request form in the separate pocket
- 3. D · Those who can walk to a designated area on their own
- 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. D · Standard precautions
- 6. C · The family can call the rapid response team if they are worried and staff have not responded
- 7. B · 両方の看護師が、ポンプとバッグを処方と照らし合わせて確認する
- 8. D · 抑制は決して職員の都合のために行わない。巡視や付き添いを使う
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。