1.やさしい
火災対応の頭字語RACEで、Rは何を表しますか?
- Aすべての機器を搬出する
- B最寄りの出口へ走る
- C直ちに危険にある患者を救出する(Rescue)
- D火災を後で管理者に報告する
2.やさしい
What is the difference between an epidemic and a pandemic?
- AAn epidemic always affects more people than a pandemic
- BA pandemic is a disease that only affects animals and never spreads to people
- CA pandemic is an epidemic that spreads across several countries or continents
- DAn epidemic is a disease that is always present at a low level
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病原体の保有場所のみ
- B感染経路
- C感受性宿主のみ
- D排出口のみ
4.ふつう
A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?
- ALabel it with the most likely drug name
- BAsk nearby staff and use it if someone recognizes it
- CGive it to the patient whose medication is due
- DDiscard it, because its contents cannot be confirmed
5.ふつう
患者の識別リストバンドが外れています。与薬の時間になっています。看護師はどうすべきですか?
- A昨日から知っている患者なので、与薬する
- B2つの識別情報で本人確認を行い、先に新しいリストバンドを付ける
- C翌日まで与薬を見送る
- D部屋番号とベッド番号で本人確認をする
6.ふつう
An order uses the abbreviation “MS”. Why is this unsafe?
- AIt is the abbreviation for milliseconds, not a drug
- BIt means the drug must be given by mouth only
- CIt can mean either morphine sulfate or magnesium sulfate
- DIt is reserved for drugs used in multiple sclerosis
7.むずかしい
A patient on oxygen needs an MRI scan. Which plan is safe?
- ALeave the steel cylinder on the patient’s bed during the scan
- BTake the usual steel cylinder into the room if it is tightly strapped to the trolley frame
- CRemove the oxygen for the scan without telling anyone
- DUse only MRI-safe equipment, and never take a standard steel oxygen cylinder into the scanner room
8.むずかしい
A hospital will introduce new infusion pumps and wants to find out how the process could fail before any harm occurs. Which method fits best?
- AA morbidity and mortality meeting
- BAn incident report for each new pump
- CFailure mode and effects analysis (FMEA)
- DRoot cause analysis (RCA) of the new pumps
解答
- 1. C · 直ちに危険にある患者を救出する(Rescue)
- 2. C · A pandemic is an epidemic that spreads across several countries or continents
- 3. B · 感染経路
- 4. D · Discard it, because its contents cannot be confirmed
- 5. B · 2つの識別情報で本人確認を行い、先に新しいリストバンドを付ける
- 6. C · It can mean either morphine sulfate or magnesium sulfate
- 7. D · Use only MRI-safe equipment, and never take a standard steel oxygen cylinder into the scanner room
- 8. C · Failure mode and effects analysis (FMEA)
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