1.やさしい
In the chain of infection, hand hygiene mainly breaks which link?
- AThe reservoir of infection
- BThe susceptibility of the host
- CThe infectious agent's ability to grow
- DThe mode of transmission
2.やさしい
What does "dysphagia" mean?
- APain when passing urine
- BDifficulty breathing
- CDifficulty speaking
- DDifficulty swallowing
3.やさしい
9 の法則で推定するのは?
- A嘔吐で失われた水分量
- B皮膚のミリメートル単位で測った熱傷創の深さ
- C1 分間の呼吸数
- D熱傷を受けた体表面積の割合
4.ふつう
A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?
- AAs an allergy to all painkillers
- BAs a severe anaphylactic allergy to all opioids
- CIt should not be recorded at all
- DAs a side effect or intolerance, not a true allergy
5.ふつう
How does CPAP help a patient with obstructive sleep apnoea?
- AIt delivers bronchodilator drugs deep into the lungs overnight
- BIt keeps the upper airway open during sleep with continuous air pressure
- CIt removes excess carbon dioxide from the lungs by gentle suction
- DIt strengthens the breathing muscles during the day
6.ふつう
A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?
- AInserting a nasogastric tube for fluids
- BFrequent mouth care that keeps the lips and mouth moist
- CStarting a fast intravenous infusion to correct the dryness
- DLeaving the mouth alone to avoid disturbing them
7.むずかしい
Why can sepsis be missed in older adults?
- AOlder adults always have a very high fever
- BBlood tests are not useful in older people
- COlder adults cannot develop sepsis because their immune system is weaker
- DThey may have no fever and present with confusion, falls or reduced mobility
8.むずかしい
第 4 胸髄(T4)の脊髄損傷の患者に、突然ズキズキする頭痛、非常に高い血圧、損傷部位より上の発汗が起こりました。最初の行動は?
- A鎮静薬を与えて 4 時間後に血圧を再確認する
- B患者を座らせ、膀胱の充満やカテーテルの閉塞を確認する
- C大量の輸液を急速に投与して血圧を再確認する
- D脳の灌流を改善するため、患者を平らに寝かせて脚を上げる
解答
- 1. D · The mode of transmission
- 2. D · Difficulty swallowing
- 3. D · 熱傷を受けた体表面積の割合
- 4. D · As a side effect or intolerance, not a true allergy
- 5. B · It keeps the upper airway open during sleep with continuous air pressure
- 6. B · Frequent mouth care that keeps the lips and mouth moist
- 7. D · They may have no fever and present with confusion, falls or reduced mobility
- 8. B · 患者を座らせ、膀胱の充満やカテーテルの閉塞を確認する
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。