1.やさしい
How should waste contaminated with chemotherapy drugs be discarded?
- ADown the sink with plenty of water
- BIn the recycling bin with plastics
- CIn the general household-type trash bin on the ward, tied in a bag
- DIn a separate labeled container for hazardous drug waste
2.やさしい
Which aid makes it safer to move a patient sideways from a bed to a stretcher?
- AA wheelchair placed between the bed and stretcher
- BA friction-reducing slide sheet or transfer board
- CPulling the patient by the arms and legs
- DA gait belt around the patient’s waist
3.やさしい
Which factor is one of the strongest predictors that a patient will fall?
- ABeing female
- BWearing glasses for reading
- CA previous fall
- DHaving a private room
4.ふつう
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- ALow body temperature reduces blood flow and immune function in the wound
- BWarm patients do not need antibiotic prophylaxis
- CCold makes bacteria grow faster in the operating room air and on the drapes
- DWarmth sterilizes the surgical site
5.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 just before the procedure, because a waiting field may become contaminated
- BSet it up in the morning and ask a colleague to check it once
- CSet it up in the morning and cover it with a clean towel until the procedure starts
- DSet it up in the morning and leave it uncovered in an empty room
6.ふつう
Which patient has the highest risk of a burn from a heating pad?
- AA patient with a sprained wrist who is fully alert
- BA healthy young adult with a strained muscle
- CA patient recovering from a cold
- DA patient with diabetic peripheral neuropathy
7.むずかしい
A patient with depression has suddenly become calm and is giving away personal possessions. What does this suggest?
- AThat the depression has resolved and observation can be reduced
- BThat the patient is now ready for discharge today
- CA possibly increased suicide risk that needs immediate assessment
- DThat the patient wants to make new friends on the unit
8.むずかしい
活動性の肺結核の患者が、面会者に来てほしいと頼みます。最善の対応はどれですか?
- Aリスクを説明し、面会を制限し、用意された防護具を使うよう面会者に指導する
- B面会者に、部屋に入らず開いた戸口に立ってもらう
- C電話も含めて、すべての接触を恒久的に禁止する
- D患者を支えるため、あらゆる面会者を予防策なしで入室させる
解答
- 1. D · In a separate labeled container for hazardous drug waste
- 2. B · A friction-reducing slide sheet or transfer board
- 3. C · A previous fall
- 4. A · Low body temperature reduces blood flow and immune function in the wound
- 5. A · Set it up just before the procedure, because a waiting field may become contaminated
- 6. D · A patient with diabetic peripheral neuropathy
- 7. C · A possibly increased suicide risk that needs immediate assessment
- 8. A · リスクを説明し、面会を制限し、用意された防護具を使うよう面会者に指導する
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