1.やさしい
Why is a Gram stain often done on a specimen before the culture result is ready?
- AIt shows exactly which antibiotic will work
- BIt measures the number of white cells in the blood
- CIt confirms whether the patient has a virus and which virus it is
- DIt quickly sorts bacteria into groups that help choose early treatment
2.やさしい
What is closed-loop communication?
- ASending a message to the team without waiting for any reply or confirmation
- BWriting every message in the patient’s chart only
- CThe receiver repeats the message back and the sender confirms it is correct
- DCommunication that only happens in a closed room
3.やさしい
Which procedure requires surgical asepsis (sterile technique)?
- AGiving an oral medication through the mouth
- BMeasuring blood pressure on the upper arm
- CGiving a bed bath
- DInserting an indwelling urinary catheter
4.ふつう
A parent will give a liquid antibiotic to a child at home. Which teaching is best?
- AEstimate the dose by pouring into a cup
- BUse a tablespoon for doses over 5 mL
- CUse any teaspoon or tablespoon from the kitchen drawer at home
- DUse the oral syringe or dosing cup that comes with the medicine
5.ふつう
When should the transparent dressing over a peripheral IV site be changed?
- AOnly when the IV catheter is removed, whatever its state
- BWhen it is damp, loose or visibly soiled
- COnly when the patient asks for a new dressing
- DEvery hour, so the site can be cleaned again
6.ふつう
Many intensive care units bathe patients daily with chlorhexidine. What is the main purpose?
- ATo lower the patient’s body temperature
- BTo treat existing wound infections without the need for antibiotics
- CTo moisturize dry skin in older patients
- DTo reduce skin bacteria and bloodstream infections linked to central lines
7.むずかしい
A nurse teaches parents about using an infant car seat. Which statement shows a need for further teaching?
- A“We will put the rear-facing seat in the front so we can see the baby.”
- B“We will install the seat in the back seat, facing the rear.”
- C“We will make sure the harness straps are snug against the baby’s chest.”
- D“We will use the car seat for every trip, even short ones.”
8.むずかしい
An audit shows poor hand hygiene compliance on a ward. Which plan is most likely to improve it?
- ARemoving all sinks so staff must use hand rub
- BA single poster about hand hygiene placed in the staff room
- CA combined approach with education, hand rub at every bedside, regular audits and feedback
- DDisciplining staff who are seen not cleaning their hands, with no other change
解答
- 1. D · It quickly sorts bacteria into groups that help choose early treatment
- 2. C · The receiver repeats the message back and the sender confirms it is correct
- 3. D · Inserting an indwelling urinary catheter
- 4. D · Use the oral syringe or dosing cup that comes with the medicine
- 5. B · When it is damp, loose or visibly soiled
- 6. D · To reduce skin bacteria and bloodstream infections linked to central lines
- 7. A · “We will put the rear-facing seat in the front so we can see the baby.”
- 8. C · A combined approach with education, hand rub at every bedside, regular audits and feedback
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