1.やさしい
Stress urinary incontinence is leakage of urine:
- AOnly during sleep
- BCaused by a blocked catheter
- CWhen coughing, sneezing or lifting
- DOnly when feeling anxious or upset
2.やさしい
Hypothermia in an adult is usually defined as a core body temperature below:
- A36.5 °C
- B37 °C
- C35 °C
- D38 °C
3.やさしい
What is ascites?
- AAir under the skin
- BFluid in the peritoneal cavity
- CFluid in the pericardial sac
- DFluid in the knee joint
4.ふつう
A patient with renal colic is asked to pass urine through a strainer. Why?
- ATo remove bacteria from the urine
- BTo measure the urine's pH and specific gravity
- CTo make passing urine less painful
- DTo catch any stone so that it can be analysed
5.ふつう
Which instruction is correct for taking weekly alendronic acid (alendronate)?
- ATake it with a glass of milk at bedtime and then lie down straight away
- BTake it with an antacid to protect the stomach
- CTake it with plain water on an empty stomach and stay upright for 30 minutes
- DChew the tablet with breakfast and a cup of milky tea
6.ふつう
A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?
- ARestricting oral fluids
- BApplying cold packs to the painful areas
- CDelaying pain relief until a diagnosis is confirmed
- DGiving prompt, effective analgesia
7.むずかしい
A patient taking dapagliflozin is vomiting and unwell, with high blood ketones and a blood glucose of only 11 mmol/L (198 mg/dL). What should be suspected?
- AHypoglycaemia
- BEuglycaemic diabetic ketoacidosis
- CSimple gastroenteritis with no further concern
- DHyperosmolar hyperglycaemic state
8.むずかしい
A patient starting a DOAC is taught about missed doses. Which statement shows a need for further teaching?
- A"I will take it at the same time each day."
- B"I will report any blood in my urine."
- C"I will tell other doctors and my dentist I take an anticoagulant."
- D"If I forget a dose, I'll take two the next day to catch up."
解答
- 1. C · When coughing, sneezing or lifting
- 2. C · 35 °C
- 3. B · Fluid in the peritoneal cavity
- 4. D · To catch any stone so that it can be analysed
- 5. C · Take it with plain water on an empty stomach and stay upright for 30 minutes
- 6. D · Giving prompt, effective analgesia
- 7. B · Euglycaemic diabetic ketoacidosis
- 8. D · "If I forget a dose, I'll take two the next day to catch up."
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