1.やさしい
A drug was prescribed by a provider and dispensed by a pharmacist. Who is accountable for checking it before giving it?
- AThe nurse who gives it
- BOnly the prescriber
- COnly the pharmacist
- DThe nurse manager on duty
2.やさしい
鋭利器材用容器は、いつ交換しますか?
- A上の口から鋭利器材がはみ出し始めたときだけ
- B上まで完全にいっぱいになったときだけ
- C約4分の3まで入った充填ラインに達したとき
- D中身の量にかかわらず月に一度
3.やさしい
What does sterilization achieve that disinfection does not?
- AIt destroys all microorganisms, including bacterial spores
- BIt stops organisms from growing for one day only
- CIt kills viruses but leaves all bacteria alive
- DIt removes visible dirt and organic matter from surfaces
4.ふつう
Why does a nurse wear chemotherapy-tested gloves and a gown when emptying the urinal of a patient who recently had chemotherapy?
- AThe urine always contains infectious bacteria after chemotherapy
- BThe patient is on airborne precautions after treatment
- CChemotherapy makes the urine strongly acidic and corrosive
- DThe body fluids can contain active drug for a time after treatment
5.ふつう
A nurse’s hands are dry and cracked from frequent hand hygiene. What is the best approach?
- AWear gloves all day instead of cleaning the hands between patients
- BUse any lotion from home, whatever its contents
- CStop hand hygiene until the skin heals
- DUse the hand lotion approved by the facility to keep the skin intact
6.ふつう
同じ微生物に感染した2人の患者が入院しましたが、空いている個室がありません。認められる選択肢はどれですか?
- Aそれぞれを免疫が低下した患者と同室にする
- B接触予防策を中止する
- C感染管理の助言に従い、同じ部屋に集める(コホーティング)
- D廊下に置く
7.むずかしい
A nurse has raised a safety concern about an order with the prescriber, who dismissed it without addressing it. What should the nurse do next?
- AState the concern clearly a second time and, if still unresolved, use the chain of command
- BDiscuss the concern with the patient and let them decide
- CCarry out the order as written, because the prescriber has heard the concern
- DRefuse to care for the patient for the rest of the shift until the prescriber apologizes
8.むずかしい
A patient arrives in the operating room for knee surgery, and the site has not been marked. What should happen?
- AStart the surgery, because the consent form shows the side
- BDo not start until the site is marked and verified with the patient
- CLet the circulating nurse mark the site from memory of the surgeon’s plan
- DMark the site after the patient is anesthetized and draped
解答
- 1. A · The nurse who gives it
- 2. C · 約4分の3まで入った充填ラインに達したとき
- 3. A · It destroys all microorganisms, including bacterial spores
- 4. D · The body fluids can contain active drug for a time after treatment
- 5. D · Use the hand lotion approved by the facility to keep the skin intact
- 6. C · 感染管理の助言に従い、同じ部屋に集める(コホーティング)
- 7. A · State the concern clearly a second time and, if still unresolved, use the chain of command
- 8. B · Do not start until the site is marked and verified with the patient
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