1.やさしい
髄膜炎菌性髄膜炎(Neisseria meningitidis)が疑われる患者にはどの予防策を用いますか?
- A飛沫予防策
- B標準予防策のみ
- C空気予防策
- D接触予防策のみ
2.やさしい
Which precautions are used for a patient with diphtheria of the throat (pharyngeal diphtheria)?
- AStandard precautions only
- BContact precautions only
- CAirborne precautions
- DDroplet precautions
3.やさしい
A corridor is filling with smoke. How should staff move through it?
- AStay low, below the smoke
- BHold their breath and run through
- COpen all windows on the way
- DStand up straight and walk quickly
4.ふつう
Which information must be documented when a patient is restrained?
- AOnly the name of the nurse who applied it and the unit where it happened
- BOnly the time the restraint was put on and the time it was taken off
- COnly whether the family agreed to the restraint
- DThe reason, alternatives tried, type of restraint, times and regular assessments
5.ふつう
Which PPE does a nurse wear when giving an IV chemotherapy drug?
- ATwo pairs of chemotherapy-tested gloves and a disposable impermeable gown
- BOne pair of standard latex gloves, changed after the infusion is started
- CA reusable cloth gown and one pair of gloves
- DA surgical mask and no gloves
6.ふつう
A patient receiving continuous nasogastric feeding has pulled the tube partly out. What should the nurse do first?
- AStop the feeding until the tube position is checked
- BPush the tube back in and restart the feed
- CIncrease the feed rate to make up for the lost time
- DTape the tube in its new position and continue
7.むずかしい
A patient’s white cell differential shows a raised eosinophil count. Which cause is most consistent with this finding?
- ABone marrow suppression from chemotherapy
- BAn allergic reaction or a parasitic infection
- CA viral infection such as a cold
- DAn acute bacterial infection
8.むずかしい
看護師が、患者の輸液ポンプの速度が処方の10倍に設定されていることに気づきました。患者は元気そうに見えます。最初の対応は何ですか?
- A患者に普段と違う感じがあるか尋ね、続ける
- B速度はそのままにして、所見を記録に残す
- C輸液を止めるか修正し、その後に患者をアセスメントする
- D副作用が出るかどうか様子を見る
解答
- 1. A · 飛沫予防策
- 2. D · Droplet precautions
- 3. A · Stay low, below the smoke
- 4. D · The reason, alternatives tried, type of restraint, times and regular assessments
- 5. A · Two pairs of chemotherapy-tested gloves and a disposable impermeable gown
- 6. A · Stop the feeding until the tube position is checked
- 7. B · An allergic reaction or a parasitic infection
- 8. C · 輸液を止めるか修正し、その後に患者をアセスメントする
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