1.やさしい
In quality improvement, what does the PDSA cycle stand for?
- APlan, Document, Supervise, Audit
- BPrepare, Deliver, Score, Assess
- CPlan, Do, Study, Act
- DPredict, Decide, Start, Analyze
2.やさしい
How should a healthy infant be placed to sleep to reduce the risk of sudden infant death?
- AOn the side, propped up with rolled blankets
- BOn the stomach, on a soft mattress with a small pillow for comfort
- CIn the parents’ bed, between two pillows
- DOn the back, on a firm flat surface with no soft bedding
3.やさしい
Why is a Gram stain often done on a specimen before the culture result is ready?
- AIt measures the number of white cells in the blood
- BIt confirms whether the patient has a virus and which virus it is
- CIt shows exactly which antibiotic will work
- DIt quickly sorts bacteria into groups that help choose early treatment
4.ふつう
A patient is on suicide precautions. Which room safety measure is appropriate?
- ALet the patient keep a personal razor for shaving, as long as staff are told
- BKeep the door closed at all times so the patient has privacy
- CRemove items that could be used for self-harm, such as belts and cords
- DAllow glass bottles if the patient seems calm
5.ふつう
A patient has a very low platelet count. Which safety measure is appropriate?
- AFloss hard each day to keep the gums healthy
- BUse a firm toothbrush and a safety razor
- CUse a soft toothbrush and an electric razor
- DTake rectal temperatures for accuracy
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その患者専用の聴診器と血圧計のカフを使う
- B清潔な物品庫から出した器材を、そのまま戻す
- C清拭せずに、すべての患者に同じ聴診器を使う
- D患者の器材を隣の部屋へ持っていく
7.むずかしい
A hospital will introduce new infusion pumps and wants to find out how the process could fail before any harm occurs. Which method fits best?
- ARoot cause analysis (RCA) of the new pumps
- BA morbidity and mortality meeting
- CAn incident report for each new pump
- DFailure mode and effects analysis (FMEA)
8.むずかしい
患者にヒドララジンが処方されましたが、薬局からヒドロキシジンが届きました。看護師はどうすべきですか?
- A妥協案としてヒドロキシジンを半量与薬する
- B今与薬して、後で指示者に伝える
- C2つの薬の名前はほぼ同じなので、与薬する
- D与薬せず、薬局に連絡して正しい薬を入手する
解答
- 1. C · Plan, Do, Study, Act
- 2. D · On the back, on a firm flat surface with no soft bedding
- 3. D · It quickly sorts bacteria into groups that help choose early treatment
- 4. C · Remove items that could be used for self-harm, such as belts and cords
- 5. C · Use a soft toothbrush and an electric razor
- 6. A · その患者専用の聴診器と血圧計のカフを使う
- 7. D · Failure mode and effects analysis (FMEA)
- 8. D · 与薬せず、薬局に連絡して正しい薬を入手する
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