1.やさしい
Which hormone made by the kidneys stimulates red blood cell production?
- AThyroxine
- BAldosterone
- CErythropoietin
- DInsulin
2.やさしい
What is the normal resting heart rate range for an adult?
- A60–100 beats per minute
- B30–50 beats per minute
- C40–60 beats per minute
- D100–140 beats per minute
3.やさしい
What is the usual normal white cell count in adults?
- AAbout 150–400 × 109/L (150,000–400,000/mm3)
- BAbout 0.1–0.5 × 109/L (100–500/mm3)
- CAbout 4–11 × 109/L (4,000–11,000/mm3)
- DAbout 50–80 × 109/L (50,000–80,000/mm3)
4.ふつう
高齢の患者が病棟で転倒のリスクが高い状態です。最も適切な看護行為は?
- Aナースコールと持ち物を手の届くところに置き、眠気を起こす薬を見直す
- B患者を常にベッド上に制限する
- C壊れないように患者の眼鏡を外しておく
- Dすべての患者に自動的にベッド柵を使う
5.ふつう
Why are patients encouraged to use an incentive spirometer after abdominal surgery?
- ATo strengthen the abdominal muscles around the wound
- BTo encourage deep breaths that prevent atelectasis and chest infection
- CTo measure their lung function so the result can go in the discharge letter
- DTo lower their heart rate before mobilising
6.ふつう
ACE 阻害薬を開始した患者に持続する空咳が出ました。考えられる原因は?
- A肺塞栓症
- Bβ遮断薬による喘息
- CACE 阻害薬の既知の副作用
- D最近投与したペニシリンへのアレルギー反応
7.むずかしい
A patient with known cirrhosis suddenly vomits large amounts of bright red blood and becomes tachycardic. What is the most likely cause?
- AA lower GI bleed from diverticular disease
- BBleeding from ruptured oesophageal varices
- CSwallowed blood from a nosebleed
- DA Mallory-Weiss tear from a small amount of vomiting
8.むずかしい
A catheterised postoperative patient has passed only 10 mL of urine in the last two hours. What should the nurse check first?
- AThe patient's cholesterol level from the admission bloods
- BWhether the patient has eaten breakfast
- CThe patient's weight from last year
- DThat the catheter and tubing are not kinked or blocked
解答
- 1. C · Erythropoietin
- 2. A · 60–100 beats per minute
- 3. C · About 4–11 × 109/L (4,000–11,000/mm3)
- 4. A · ナースコールと持ち物を手の届くところに置き、眠気を起こす薬を見直す
- 5. B · To encourage deep breaths that prevent atelectasis and chest infection
- 6. C · ACE 阻害薬の既知の副作用
- 7. B · Bleeding from ruptured oesophageal varices
- 8. D · That the catheter and tubing are not kinked or blocked
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