1.やさしい
患者が酸素を使用しているときに当てはまる規則はどれですか?
- A酸素チューブはラグの下を通してよい
- B皮膚を守るため、マスクの近くに油性のクリームを塗る
- C酸素の近くでの喫煙、裸火、ろうそくは禁止
- D酸素ボンベは床に寝かせて置いてもよい
2.やさしい
造血幹細胞移植後など、重度の免疫抑制状態にある患者にはどのような部屋を使いますか?
- A面会者が手袋をしていれば、どの部屋でもよい
- Bフィルターを通した空気を送る陽圧室
- C陰圧の空気感染隔離室
- D自然換気がよく窓を開けた相部屋
3.やさしい
In the chain of infection, a contaminated bedside table where bacteria live and multiply is an example of which link?
- AThe reservoir
- BThe portal of entry
- CThe portal of exit
- DThe susceptible host
4.ふつう
A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?
- AGive it to the patient whose medication is due
- BAsk nearby staff and use it if someone recognizes it
- CLabel it with the most likely drug name
- DDiscard it, because its contents cannot be confirmed
5.ふつう
A visitor with a cold wants to see a patient who has severe neutropenia. What should the nurse advise?
- AVisit only if the cold started more than a day ago
- BPostpone the visit until the visitor is well
- CVisit as usual after washing the hands
- DVisit but avoid touching the patient’s bed
6.ふつう
Which room lighting is safest at night for a patient at high risk of falls?
- ABright overhead lights left on all night in the room
- BA low night light that lights the path to the bathroom
- COnly the light from the television screen
- DComplete darkness so the patient sleeps more deeply
7.むずかしい
A nurse teaches a patient with neutropenia about preventing infection at home. Which statement shows a need for further teaching?
- A“I will check my temperature and call if I have a fever.”
- B“I will wash my hands often and ask visitors to do the same.”
- C“I will avoid crowds and people who have colds.”
- D“I can clean the cat’s litter box if I wear a face mask.”
8.むずかしい
A patient rescued from a house fire has a headache and confusion, but the pulse oximeter reads 99%. Why might this reading be misleading?
- AThe reading is accurate, so carbon monoxide poisoning is ruled out
- BPulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
- CConfusion and headache make pulse oximetry readings inaccurate in every patient
- DPulse oximeters always read falsely low after any kind of smoke exposure
解答
- 1. C · 酸素の近くでの喫煙、裸火、ろうそくは禁止
- 2. B · フィルターを通した空気を送る陽圧室
- 3. A · The reservoir
- 4. D · Discard it, because its contents cannot be confirmed
- 5. B · Postpone the visit until the visitor is well
- 6. B · A low night light that lights the path to the bathroom
- 7. D · “I can clean the cat’s litter box if I wear a face mask.”
- 8. B · Pulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
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