1.やさしい
Which of these counts as a physical restraint?
- APlacing the bed in its lowest position
- BRaising all four side rails to stop a patient from getting out of bed
- CUsing a gait belt while helping a patient walk in the corridor
- DUsing a bed exit alarm for a patient at high risk of falling at night
2.やさしい
処方箋に単位を「U」と書いてはいけないのはなぜですか?
- A薬剤師には通常「マイクログラム」と読まれるから
- B手書きで丁寧に書くのに時間がかかるから
- C薬剤師がその略語を知らないから
- D0や4と読み間違えられ、過量投与につながるから
3.やさしい
A nurse cannot get a good seal with an N95 respirator because of a beard. Which device can be used instead?
- AA standard surgical mask
- BTwo surgical masks worn together
- CA washable cloth face mask worn over the beard
- DA powered air-purifying respirator (PAPR)
4.ふつう
Why must visible dirt be removed from equipment before it is disinfected?
- ACleaning first is only needed for metal items
- BDisinfectants only work on wet surfaces
- CDirt makes the disinfectant react and work too strongly on the surface
- DOrganic matter can shield organisms and weaken the disinfectant
5.ふつう
患者の胸部の一部に帯状疱疹があり、免疫は正常で、病変は完全に覆うことができます。通常、どの予防策が必要ですか?
- A陽圧の防護環境
- B病変を覆った標準予防策
- C陰圧室での空気予防策
- D飛沫予防策のみ
6.ふつう
A patient is on suicide precautions. Which room safety measure is appropriate?
- ARemove items that could be used for self-harm, such as belts and cords
- BAllow glass bottles if the patient seems calm
- CKeep the door closed at all times so the patient has privacy
- DLet the patient keep a personal razor for shaving, as long as staff are told
7.むずかしい
A newly hired nurse has these hepatitis B results: HBsAg negative, anti-HBs positive, anti-HBc negative. What do they show?
- ANo immunity, so the vaccine is needed
- BImmunity from hepatitis B vaccination
- CPast infection that has now cleared
- DA current hepatitis B infection
8.むずかしい
窒息のリスクがある意識清明な患者に、経口薬を与えています。最も安全な実践はどれですか?
- A患者を座位にして、錠剤を1錠ずつ与える
- B飲み込みやすいよう、患者を仰臥位に寝かせる
- C時間を節約するため、すべての錠剤を一度に与える
- D許可されているか確認せずに、すべての錠剤を砕く
解答
- 1. B · Raising all four side rails to stop a patient from getting out of bed
- 2. D · 0や4と読み間違えられ、過量投与につながるから
- 3. D · A powered air-purifying respirator (PAPR)
- 4. D · Organic matter can shield organisms and weaken the disinfectant
- 5. B · 病変を覆った標準予防策
- 6. A · Remove items that could be used for self-harm, such as belts and cords
- 7. B · Immunity from hepatitis B vaccination
- 8. A · 患者を座位にして、錠剤を1錠ずつ与える
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