1.やさしい
What does "orthopnoea" mean?
- ABreathlessness only during exercise
- BBreathlessness when lying flat
- CA pause in breathing during sleep
- DBreathing that is abnormally slow
2.やさしい
けいれん発作を起こしたばかりで、今はうとうとしている患者に最優先すべきことは?
- A回復体位にして気道を確保する
- B動かないように強く押さえる
- Cそれ以上観察せずに、酔いが覚めるまで眠らせておく
- Dすぐに食べ物と水を与える
3.やさしい
What is the Bristol Stool Chart used for?
- AClassifying the form and consistency of stools
- BRecording the frequency of urination
- CScoring the risk of pressure ulcers
- DMeasuring how much food a patient eats each day
4.ふつう
How should a nurse communicate with a patient who has impaired hearing?
- ATalk to the patient's relative instead of to the patient directly
- BSpeak very quickly to save time
- CFace the patient, speak clearly and reduce background noise
- DShout loudly from the end of the bed so they can hear
5.ふつう
What happens in third-degree (complete) heart block?
- AThe atria beat chaotically with no P waves, and the ventricular rate is irregular
- BEvery impulse reaches the ventricles, but each one is slightly delayed
- CNo impulses from the atria reach the ventricles, so they beat independently
- DThe ventricles beat very fast and regularly
6.ふつう
Which is a major risk factor for Clostridioides difficile infection?
- ARegular exercise
- BTaking regular paracetamol
- CRecent broad-spectrum antibiotic use
- DA diet high in fibre and fresh fruit
7.むずかしい
Why must severe chronic hyponatraemia be corrected slowly?
- AFast correction makes the kidneys stop producing urine
- BToo-rapid correction can cause osmotic demyelination in the brain
- CFast correction causes severe hypoglycaemia and seizures in most patients
- DSodium given quickly causes immediate cardiac arrest
8.むずかしい
内科病棟の患者が 3 日間下痢をしています。最も適切な感染管理の対応は?
- A下痢が 1 週間続くまで何もしない
- B速やかに隔離し、接触予防策をとり、便検体を提出する
- C個室を空けておくため、患者を大部屋に移す
- D資源を節約するため、アルコール手指消毒薬だけを使い手袋は使わない
解答
- 1. B · Breathlessness when lying flat
- 2. A · 回復体位にして気道を確保する
- 3. A · Classifying the form and consistency of stools
- 4. C · Face the patient, speak clearly and reduce background noise
- 5. C · No impulses from the atria reach the ventricles, so they beat independently
- 6. C · Recent broad-spectrum antibiotic use
- 7. B · Too-rapid correction can cause osmotic demyelination in the brain
- 8. B · 速やかに隔離し、接触予防策をとり、便検体を提出する
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