1.やさしい
What is the single most important measure to prevent healthcare-associated infections?
- AKeeping every patient in a single room
- BHand hygiene
- CWearing a face mask all the time
- DGiving antibiotics to all patients
2.やさしい
What is an incentive spirometer used for?
- AGiving inhaled medicines to the lungs
- BRemoving mucus from the airway by suction
- CEncouraging slow, deep breaths to keep the lungs expanded
- DMeasuring the oxygen level in the blood before and after surgery
3.やさしい
What does "bradypnoea" mean?
- AAn abnormally slow breathing rate
- BAn abnormally fast breathing rate
- CBreathing that stops completely
- DBreathing that is painful
4.ふつう
A small blood spill is found on the ward floor. What is the correct approach?
- ACover it with a sheet so no one steps in it
- BWear gloves and an apron and clean it with an approved disinfectant per policy
- CLeave it for the domestic staff to clean at the end of the day
- DWipe it up with a paper towel without gloves, then wash your hands well afterwards
5.ふつう
Why must a respirator such as an FFP3 or N95 mask be fit-tested?
- AIt must be tested to check it is the right colour
- BFit-testing checks whether the patient is still infectious
- CFit-testing makes the mask reusable for a week
- DIt only protects if it seals closely to the wearer's face
6.ふつう
ケアを行ったその時に記録する主な理由は?
- Aケア自体が正しく安全に行われたなら、記録は任意だから
- B正確な記録は安全なケアの継続を支え、法的な記録になるから
- C記録は請求のためだけに必要だから
- D勤務時間が早く過ぎるから
7.むずかしい
カテーテルを留置している体重 70 kg の術後患者の尿量が、この 3 時間、1 時間あたり 20 mL です。最も適切な解釈は?
- A手術後の正常な尿量
- B朝のチームが確認するまで安全に放置してよい、カテーテルの閉塞
- C水分制限が必要な多尿
- D0.5 mL/kg/h を下回っているため、エスカレーションすべき乏尿
8.むずかしい
A patient standing for the first time after surgery becomes pale, sweaty and dizzy. What should the nurse do first?
- AEncourage the patient to keep walking to build strength
- BLeave the patient standing and fetch the blood pressure machine
- CGive the patient a sugary drink while standing
- DHelp the patient sit or lie down safely
解答
- 1. B · Hand hygiene
- 2. C · Encouraging slow, deep breaths to keep the lungs expanded
- 3. A · An abnormally slow breathing rate
- 4. B · Wear gloves and an apron and clean it with an approved disinfectant per policy
- 5. D · It only protects if it seals closely to the wearer's face
- 6. B · 正確な記録は安全なケアの継続を支え、法的な記録になるから
- 7. D · 0.5 mL/kg/h を下回っているため、エスカレーションすべき乏尿
- 8. D · Help the patient sit or lie down safely
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