1.やさしい
Stress urinary incontinence is leakage of urine:
- AOnly during sleep
- BWhen coughing, sneezing or lifting
- CCaused by a blocked catheter
- DOnly when feeling anxious or upset
2.やさしい
What is the usual normal platelet count in adults?
- A4–11 × 109/L (4,000–11,000/mm3)
- B1–2 × 109/L (1,000–2,000/mm3)
- C1,000–2,000 × 109/L (1–2 million/mm3)
- D150–400 × 109/L (150,000–400,000/mm3)
3.やさしい
A pneumothorax is:
- AA blood clot in the lung arteries
- BAir in the pleural space, causing the lung to collapse
- CFluid in the alveoli, usually from heart failure
- DAn infection of the lung tissue, usually caused by bacteria
4.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 plain water on an empty stomach and stay upright for 30 minutes
- CChew the tablet with breakfast and a cup of milky tea
- DTake it with an antacid to protect the stomach
5.ふつう
A nurse gives a patient analgesia for post-operative pain. What should be done next?
- AReassess the pain and any side effects once the drug has had time to work
- BAssume the pain has gone if the patient is quiet and has their eyes closed
- CWait until the next shift before asking the patient about the pain
- DGive a second analgesic straight away just in case
6.ふつう
Which pattern is typical of relapsing–remitting multiple sclerosis?
- AA single stroke that leaves permanent weakness
- BConstant weakness that starts in the feet and spreads upwards after a viral illness
- CAttacks of symptoms, such as visual loss or numbness, that improve between relapses
- DSudden severe headache with neck stiffness
7.むずかしい
急性消化管出血の患者の心拍数は 120 回/分、血圧は 90/60 mmHg です。助けを呼んだ後の看護の優先事項は?
- A太い留置針で静脈路を確保し、輸液や輸血の準備をする
- B便の色を確認するまで対応を遅らせる
- Cひとりでトイレまで歩くよう勧める
- Dエネルギーを回復させるために十分な食事を与える
8.むずかしい
A patient rescued from a house fire has soot around the mouth, singed nasal hairs and a hoarse voice. What is the main concern?
- AAirway swelling from inhalation injury
- BA minor throat infection
- CHypothermia from the fire service water
- DDehydration from sweating
解答
- 1. B · When coughing, sneezing or lifting
- 2. D · 150–400 × 109/L (150,000–400,000/mm3)
- 3. B · Air in the pleural space, causing the lung to collapse
- 4. B · Take it with plain water on an empty stomach and stay upright for 30 minutes
- 5. A · Reassess the pain and any side effects once the drug has had time to work
- 6. C · Attacks of symptoms, such as visual loss or numbness, that improve between relapses
- 7. A · 太い留置針で静脈路を確保し、輸液や輸血の準備をする
- 8. A · Airway swelling from inhalation injury
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