1.やさしい
Why is a carbon monoxide detector recommended in the home?
- AThe detector also measures the air temperature and humidity in the home
- BCarbon monoxide always smells like rotten eggs
- CCarbon monoxide is only dangerous outdoors
- DCarbon monoxide has no color or smell, so people cannot detect it themselves
2.やさしい
Why are a low bed and floor mats used for some patients at high risk of falls?
- AThey reduce the risk of injury if the patient falls out of bed
- BThey stop the patient from ever leaving the bed
- CThey make it easier for staff to clean under and around the bed
- DThey help the patient sleep more deeply
3.やさしい
In the fire safety acronym RACE, what does the C stand for?
- AClear the corridor of all equipment first
- BCool the room by turning on the air conditioning
- CContain the fire by closing doors and windows
- DCall the family of each patient on the unit
4.ふつう
中心静脈カテーテルのハブにアクセスする前に、看護師は何をすべきですか?
- A乾いた滅菌ガーゼでさっと拭く
- B何もしない(ハブは滅菌キャップで保護されているから)
- Cハブを消毒薬でこすり、乾かす
- Dほこりを取るためにハブにそっと息を吹きかける
5.ふつう
A newly hired nurse had BCG vaccine as a child. Which TB screening test is usually preferred?
- ANo screening, because BCG prevents all TB
- BA tuberculin skin test, which is read 24 hours after it is placed
- CAn interferon-gamma release assay (IGRA) blood test
- DA chest x-ray every month for the first year
6.ふつう
接触予防策中の患者に対する器材の扱いで、正しいのはどれですか?
- A清拭せずに、すべての患者に同じ聴診器を使う
- B清潔な物品庫から出した器材を、そのまま戻す
- C患者の器材を隣の部屋へ持っていく
- Dその患者専用の聴診器と血圧計のカフを使う
7.むずかしい
手書きの指示に「10U regular insulin subcut now」とあります。看護師の最善の対応はどれですか?
- A指示がそう読めるので、100単位を与える
- B疑問を持たず、書かれたとおり10単位を与える
- C「U」は読み間違えられるおそれがあるため、指示を確認する
- D看護助手に筆跡を解読してもらう
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?
- AConfusion and headache make pulse oximetry readings inaccurate in every patient
- BThe reading is accurate, so carbon monoxide poisoning is ruled out
- CPulse oximeters always read falsely low after any kind of smoke exposure
- DPulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
解答
- 1. D · Carbon monoxide has no color or smell, so people cannot detect it themselves
- 2. A · They reduce the risk of injury if the patient falls out of bed
- 3. C · Contain the fire by closing doors and windows
- 4. C · ハブを消毒薬でこすり、乾かす
- 5. C · An interferon-gamma release assay (IGRA) blood test
- 6. D · その患者専用の聴診器と血圧計のカフを使う
- 7. C · 「U」は読み間違えられるおそれがあるため、指示を確認する
- 8. D · Pulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
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