1.やさしい
In The Joint Commission’s (US) terminology, what is a sentinel event?
- AA minor error that reaches the patient but causes no harm of any kind at all
- BAn unexpected event causing death or serious physical or psychological harm
- CAn expected side effect that was explained to the patient
- DAn error that is caught before it reaches the patient
2.やさしい
Which safety advice should be given to parents of a child who rides a bicycle?
- AWear a helmet only on busy roads with traffic
- BWear a helmet only for long rides
- CWear a properly fitted helmet on every ride
- DA helmet is only needed for adults
3.やさしい
A nurse notices that a medication is past its expiry date. What should the nurse do?
- AGive it, if it is less than one month expired
- BNot give it, and return it according to policy
- CGive it, because medicines work for years after expiry
- DGive a double dose to make up for lost strength
4.ふつう
Hair must be removed from a planned surgical site. Which method reduces the risk of surgical site infection?
- AShaving with a razor just before the incision
- BUsing wax strips on the morning of surgery
- CShaving with a disposable razor the night before surgery
- DClipping with electric clippers just before surgery
5.ふつう
錠剤を渡す前に、患者が「この薬はいつもの薬と見た目が違う」と言いました。看護師はどうすべきですか?
- A患者を安心させて錠剤を渡す
- B病院ではどの薬も見た目が違うものだと患者に説明する
- C投与前に手を止めて、指示と薬を再確認する
- D半分だけ渡して、異常な作用がないか観察する
6.ふつう
患者が手首の抑制を受けている間、最も重要なアセスメントはどれですか?
- A時計を使った両耳の聴力
- B身長と体重
- Cその日の飲食の好み
- D抑制具より末梢の循環、感覚、皮膚
7.むずかしい
看護師が間違った薬を吸い上げたことに気づきましたが、与薬する前に分かりました。看護師はどうすべきですか?
- A病棟で同じ間違いがまた起きたときだけ報告する
- B患者に害がなかったので、何も言わない
- C廃棄して正しい薬を準備し、ニアミスとして報告する
- Dすでに吸い上げてあるので、そのまま与薬する
8.むずかしい
A visitor is receiving an electric shock from a faulty lamp and is still touching it. What should the nurse do first?
- AStart chest compressions straight away
- BThrow water over the lamp to stop the current
- CSwitch off the power or unplug the lamp without touching the person
- DPull the visitor away from the lamp by the arm as quickly as possible
解答
- 1. B · An unexpected event causing death or serious physical or psychological harm
- 2. C · Wear a properly fitted helmet on every ride
- 3. B · Not give it, and return it according to policy
- 4. D · Clipping with electric clippers just before surgery
- 5. C · 投与前に手を止めて、指示と薬を再確認する
- 6. D · 抑制具より末梢の循環、感覚、皮膚
- 7. C · 廃棄して正しい薬を準備し、ニアミスとして報告する
- 8. C · Switch off the power or unplug the lamp without touching the person
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