1.やさしい
Several people develop Salmonella infection after eating the same undercooked chicken. Which mode of transmission is this?
- AVehicle transmission
- BVector-borne transmission
- CDirect contact transmission
- DAirborne transmission
2.やさしい
What is closed-loop communication?
- AThe receiver repeats the message back and the sender confirms it is correct
- BCommunication that only happens in a closed room
- CSending a message to the team without waiting for any reply or confirmation
- DWriting every message in the patient’s chart only
3.やさしい
What is the purpose of a dosimeter badge worn by staff who work with radiation?
- ATo protect the wearer from radiation
- BTo measure how much radiation the wearer has been exposed to
- CTo open doors to the radiology department
- DTo show staff which patients are radioactive after treatment
4.ふつう
A patient has orthostatic hypotension. Which teaching helps to prevent falls?
- AAvoid drinking fluids in the morning to reduce trips to the toilet
- BStand up straight after a hot shower to increase blood flow
- CSit on the edge of the bed for a short time before standing up slowly
- DGet out of bed quickly so the dizziness passes sooner
5.ふつう
A patient with a respiratory infection has a raised procalcitonin level. What does this most suggest?
- AAn allergic reaction to a recent medication
- BDehydration from poor intake
- CA purely viral illness
- DA bacterial rather than a viral infection
6.ふつう
How is a urine specimen for culture obtained from an indwelling catheter?
- AFrom the sampling port, after cleaning it, using aseptic technique
- BBy disconnecting the catheter from the drainage tubing
- CBy removing the catheter and sending its tip for culture
- DFrom the urine already collected in the drainage bag at the bedside
7.むずかしい
看護師が廊下の火災の現場に着くと、火が燃え広がっています。近くの部屋には患者がいます。警報を発した後、看護師はどうすべきですか?
- A広がる火を、消火器を使って一人で消そうとする
- Bドアを閉め、危険にある患者を防火扉の向こうへ水平に移動させる
- C煙を逃がすために、すべてのドアと窓を開ける
- D最寄りのエレベーターで患者を1階へ連れて行く
8.むずかしい
The laboratory reports that a blood sample labeled with one patient’s name has a blood group different from that patient’s previous result. What is the most likely problem and response?
- AThe previous result was wrong, so it is deleted
- BA laboratory machine fault, so no action is needed
- CA normal change in the patient’s blood group over the years since the last test
- DA wrong-patient sample, so the test is repeated and the event reported
解答
- 1. A · Vehicle transmission
- 2. A · The receiver repeats the message back and the sender confirms it is correct
- 3. B · To measure how much radiation the wearer has been exposed to
- 4. C · Sit on the edge of the bed for a short time before standing up slowly
- 5. D · A bacterial rather than a viral infection
- 6. A · From the sampling port, after cleaning it, using aseptic technique
- 7. B · ドアを閉め、危険にある患者を防火扉の向こうへ水平に移動させる
- 8. D · A wrong-patient sample, so the test is repeated and the event reported
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