1.やさしい
Which precautions are used for a patient with diphtheria of the throat (pharyngeal diphtheria)?
- AAirborne precautions
- BDroplet precautions
- CContact precautions only
- DStandard precautions only
2.やさしい
0.5ミリグラムの用量はどう書くべきですか?
- A0.50 mg
- B1/2mg
- C.5 mg
- D0.5 mg
3.やさしい
Which item belongs in a sharps container?
- AA soiled gauze dressing
- BA pair of used gloves
- CAn empty IV bag with the tubing removed
- DA used scalpel blade
4.ふつう
A nurse wants to set up a sterile field in the morning for a procedure that will take place after lunch. What is correct?
- ASet it up in the morning and leave it uncovered in an empty room
- BSet it up in the morning and ask a colleague to check it once
- CSet it up just before the procedure, because a waiting field may become contaminated
- DSet it up in the morning and cover it with a clean towel until the procedure starts
5.ふつう
Which measure reduces errors caused by interruptions during medication preparation?
- AAnswering phone calls and pages while counting tablets, to save time
- BPreparing medications for all patients at once
- CPreparing medications at the busiest place on the ward
- DA quiet “no interruption” zone or signal while preparing medications
6.ふつう
A patient on oxygen is being taken to another department by wheelchair. What should the nurse check first?
- AThat the oxygen is turned off during the transfer to save the supply in the tank
- BThat the cylinder is placed on the patient’s lap
- CThat the cylinder is the largest size available
- DThat the portable cylinder has enough oxygen for the whole trip
7.むずかしい
A patient takes medicines prescribed by several providers. Which advice best reduces the risk of medication errors at home?
- AKeep one up-to-date list of all medicines and use one pharmacy where possible
- BStop taking any medicine that seems to repeat another one, without asking anyone
- CKeep each provider’s medicines in separate bags
- DOnly tell each provider about the drugs they prescribed
8.むずかしい
A nurse asks a colleague to “just glance” at an insulin infusion before starting it. What makes a check truly independent?
- AThe second nurse signs the record after the infusion has already been started by the first
- BThe first nurse reads the details aloud and the second agrees
- CThe second nurse checks the order, drug, dose and pump settings separately without being told the answer
- DThe second nurse looks at the bag label from the doorway
解答
- 1. B · Droplet precautions
- 2. D · 0.5 mg
- 3. D · A used scalpel blade
- 4. C · Set it up just before the procedure, because a waiting field may become contaminated
- 5. D · A quiet “no interruption” zone or signal while preparing medications
- 6. D · That the portable cylinder has enough oxygen for the whole trip
- 7. A · Keep one up-to-date list of all medicines and use one pharmacy where possible
- 8. C · The second nurse checks the order, drug, dose and pump settings separately without being told the answer
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