1.やさしい
What is a superinfection?
- AA new infection that grows when antibiotics upset the normal flora
- BAn infection that no antibiotic can treat
- CAn infection that spreads to more than one organ at the same time
- DAn infection of a surgical wound that has opened
2.やさしい
In quality improvement, what does the PDSA cycle stand for?
- APlan, Do, Study, Act
- BPredict, Decide, Start, Analyze
- CPrepare, Deliver, Score, Assess
- DPlan, Document, Supervise, Audit
3.やさしい
What is medical asepsis?
- AGiving antibiotics to prevent infection after surgery
- BPractices that reduce the number and spread of microorganisms
- CSterilizing all equipment before every patient contact
- DPractices that remove every microorganism, including spores, from an area
4.ふつう
How should a newborn be moved through hospital corridors?
- AIn a bassinet, not carried in the arms
- BCarried in the nurse’s arms for comfort
- CIn the arms of any visitor who offers to help
- DOn the mother’s lap in a wheelchair, without staff
5.ふつう
A patient is admitted to an inpatient mental health unit. Why are personal belongings checked?
- ATo find out what the patient likes to wear during the hospital stay
- BTo make a list of valuable items for insurance
- CTo remove items that could be used to harm self or others
- DTo decide which family members may visit
6.ふつう
Which measure is part of the bundle for inserting a central venous catheter to prevent bloodstream infection?
- AGiving antibiotics to every patient before insertion
- BRoutine replacement of the catheter on a fixed schedule, such as every three days
- CChlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
- DChoosing the femoral vein as the first site in adults
7.むずかしい
Before the wound is closed, the sponge count does not match the starting count. What should happen?
- AClose the wound to avoid a long anesthetic and recount the sponges after surgery
- BChange the count on the record so that it matches, then close the wound as planned
- CTell the surgeon and team, search for the item, and image the patient per policy if it is not found
- DAssume that the first count was wrong and continue
8.むずかしい
A patient who speaks little English is being discharged with new medications. The patient’s 12-year-old child offers to interpret. What should the nurse do?
- AGive written instructions in English only
- BLet the child interpret, because the family prefers it
- CUse a professional medical interpreter
- DUse simple English and many hand gestures
解答
- 1. A · A new infection that grows when antibiotics upset the normal flora
- 2. A · Plan, Do, Study, Act
- 3. B · Practices that reduce the number and spread of microorganisms
- 4. A · In a bassinet, not carried in the arms
- 5. C · To remove items that could be used to harm self or others
- 6. C · Chlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
- 7. C · Tell the surgeon and team, search for the item, and image the patient per policy if it is not found
- 8. C · Use a professional medical interpreter
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