1.やさしい
A patient uses glasses and a hearing aid. How does this affect fall prevention?
- AThey should only be worn during meals and visits, to keep them from breaking
- BThey should be stored away to prevent them from being lost
- CThe glasses and hearing aid should be in place and working when the patient is awake
- DThey make no difference to the risk of falling
2.やさしい
火災対応の頭字語RACEで、Rは何を表しますか?
- A直ちに危険にある患者を救出する(Rescue)
- B火災を後で管理者に報告する
- C最寄りの出口へ走る
- Dすべての機器を搬出する
3.やさしい
In the chain of infection, a contaminated bedside table where bacteria live and multiply is an example of which link?
- AThe reservoir
- BThe portal of entry
- CThe susceptible host
- DThe portal of exit
4.ふつう
接触予防策中の患者に対する器材の扱いで、正しいのはどれですか?
- A清拭せずに、すべての患者に同じ聴診器を使う
- B患者の器材を隣の部屋へ持っていく
- C清潔な物品庫から出した器材を、そのまま戻す
- Dその患者専用の聴診器と血圧計のカフを使う
5.ふつう
Why is keeping a patient warm (normothermia) during surgery part of infection prevention?
- AWarmth sterilizes the surgical site
- BCold makes bacteria grow faster in the operating room air and on the drapes
- CLow body temperature reduces blood flow and immune function in the wound
- DWarm patients do not need antibiotic prophylaxis
6.ふつう
Why are patients on long-term corticosteroids at higher risk from infections?
- ASteroids make the patient’s blood more acidic, which helps bacteria grow
- BSteroids suppress the immune response and can hide signs of infection
- CSteroids kill the patient’s normal skin bacteria
- DSteroids only affect the risk of fungal skin rashes
7.むずかしい
Which patient should the nurse assess first?
- AA patient on chemotherapy with a new temperature of 38.4 °C (101.1 °F)
- BA patient with tuberculosis who is asking to have visitors
- CA patient who wants more alcohol hand rub in the room
- DA patient with an MRSA wound due for a routine dressing change
8.むずかしい
A nurse finds a patient lying on the floor next to the bed. What should the nurse do first?
- AAssess the patient for injury before moving them
- BComplete an incident report while the details are fresh
- CLift the patient back into bed with a colleague
- DTelephone the family to tell them about the fall
解答
- 1. C · The glasses and hearing aid should be in place and working when the patient is awake
- 2. A · 直ちに危険にある患者を救出する(Rescue)
- 3. A · The reservoir
- 4. D · その患者専用の聴診器と血圧計のカフを使う
- 5. C · Low body temperature reduces blood flow and immune function in the wound
- 6. B · Steroids suppress the immune response and can hide signs of infection
- 7. A · A patient on chemotherapy with a new temperature of 38.4 °C (101.1 °F)
- 8. A · Assess the patient for injury before moving them
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