1.쉬움
환자안전에서 “공정 문화(just culture)”란?
- A의사만 오류를 보고하고 간호사는 의사에게 알린다
- B직원의 사기를 위해 오류를 절대 논의하지 않는다
- C모든 오류는 당사자에 대한 공식 처벌로 이어진다
- D오류를 공개적으로 보고하고 시스템을 고치되, 무모한 행위는 여전히 다룬다
2.쉬움
Which infection is mainly spread through blood and is a major risk after a needlestick injury?
- ASeasonal influenza
- BHepatitis A
- CNorovirus
- DHepatitis B
3.쉬움
Which footwear is safest for a hospitalized patient who is walking?
- ANon-slip socks or well-fitting shoes with non-slip soles
- BLoose slippers with an open heel that are easy to slide on
- CBare feet on the polished floor
- DOrdinary cotton socks with no grip on the soles
4.보통
간호사가 HIV 감염이 알려진 환자에게 사용한 주사침에 찔렸습니다. 즉시 보고하는 것이 중요한 이유는?
- A노출 후 예방 요법은 몇 시간 이내에 시작할 때 가장 효과가 좋기 때문
- B정맥 주사침으로 인한 손상일 때만 보고하면 되기 때문
- C상처에서 피가 나거나 깊을 때만 보고하면 되기 때문
- D한 달 이내 언제든 보고해도 위험이 달라지지 않기 때문
5.보통
Which measure is part of the bundle for inserting a central venous catheter to prevent bloodstream infection?
- AChlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
- BChoosing the femoral vein as the first site in adults
- CGiving antibiotics to every patient before insertion
- DRoutine replacement of the catheter on a fixed schedule, such as every three days
6.보통
A parent says, “I tell my son his medicine is candy so he takes it.” What should the nurse teach?
- AIt only matters for medicines that taste bitter or are hard to swallow
- BIt is fine as long as the medicine is kept in the fridge
- CDo not call medicine candy, because the child may take it when no one is watching
- DThis is a good idea and makes giving medicine easier
7.어려움
A patient who speaks little English is being discharged with new medications. The patient’s 12-year-old child offers to interpret. What should the nurse do?
- AGive written instructions in English only
- BUse a professional medical interpreter
- CLet the child interpret, because the family prefers it
- DUse simple English and many hand gestures
8.어려움
A patient on an anticoagulant falls and hits their head but says they feel fine. What should the nurse do?
- AGive the next anticoagulant dose early to prevent clots from forming after the fall
- BWait until the next day to see if a headache develops
- CNotify the provider and start neurological observations, because a brain bleed may develop
- DHelp the patient back to bed and do nothing more if they feel fine
정답표
- 1. D · 오류를 공개적으로 보고하고 시스템을 고치되, 무모한 행위는 여전히 다룬다
- 2. D · Hepatitis B
- 3. A · Non-slip socks or well-fitting shoes with non-slip soles
- 4. A · 노출 후 예방 요법은 몇 시간 이내에 시작할 때 가장 효과가 좋기 때문
- 5. A · Chlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
- 6. C · Do not call medicine candy, because the child may take it when no one is watching
- 7. B · Use a professional medical interpreter
- 8. C · Notify the provider and start neurological observations, because a brain bleed may develop
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