1.やさしい
転倒リスクの高い患者のベッドはどのような状態にしておくべきですか?
- Aすぐ動かせるようにブレーキを外しておく
- B最も低い位置にし、ブレーキをかける
- C常に4本のベッド柵をすべて上げておく
- D最も高い位置にする
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 properly fitted helmet on every ride
- CWear a helmet only for long rides
- DA helmet is only needed for adults
3.やさしい
An adult’s white blood cell count is 18,000/mm3 (18 × 109/L). How is this best described?
- ALow (leukopenia)
- BWithin the normal range
- CRaised (leukocytosis)
- DNormal for an older adult
4.ふつう
A patient has orthostatic hypotension. Which teaching helps to prevent falls?
- AGet out of bed quickly so the dizziness passes sooner
- BSit on the edge of the bed for a short time before standing up slowly
- CStand up straight after a hot shower to increase blood flow
- DAvoid drinking fluids in the morning to reduce trips to the toilet
5.ふつう
Why is “QD” (once daily) on The Joint Commission’s “Do Not Use” list?
- AIt is a Latin abbreviation, and only plain English abbreviations may be used
- BIt can be misread as QID or QOD, so the drug is given too often or too rarely
- CIt is only allowed for intravenous medicines
- DIt means “every day at bedtime” in some hospitals
6.ふつう
バーコードスキャナーが、薬が患者の記録と一致しないと警告しました。看護師はどうすべきですか?
- A別の患者のリストバンドをスキャンする
- B与薬して、警告は勤務の後半に報告する
- C手を止めて、与薬する前に理由を調べる
- D警告を無視して与薬する
7.むずかしい
A toddler has bruises of different ages and a burn, and the parent’s explanation does not fit the injuries. What should the nurse do?
- AWait until there is clear proof of abuse before reporting anything at all
- BReport the concern following child-protection (safeguarding) procedures
- CConfront the parent and ask them to admit to abuse
- DDocument only and say nothing to anyone
8.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 can clean the cat’s litter box if I wear a face mask.”
- 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 will check my temperature and call if I have a fever.”
解答
- 1. B · 最も低い位置にし、ブレーキをかける
- 2. B · Wear a properly fitted helmet on every ride
- 3. C · Raised (leukocytosis)
- 4. B · Sit on the edge of the bed for a short time before standing up slowly
- 5. B · It can be misread as QID or QOD, so the drug is given too often or too rarely
- 6. C · 手を止めて、与薬する前に理由を調べる
- 7. B · Report the concern following child-protection (safeguarding) procedures
- 8. A · “I can clean the cat’s litter box if I wear a face mask.”
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