1.やさしい
A wheeze heard on chest auscultation is caused by:
- AFluid collecting in the pleural space
- BFluid in the alveoli
- CThe pleural layers rubbing together
- DAir flowing through narrowed airways
2.やさしい
Why do nurses wear protective gloves and gowns when handling cytotoxic drugs?
- ATo make the drug work faster
- BTo protect themselves from exposure to hazardous drugs
- CTo stop the patient from seeing the drug
- DTo keep the drug at the right temperature during use
3.やさしい
Pain from gallstones (biliary colic) is typically felt in which area?
- ABehind the left knee
- BThe lower back on the left, when walking
- CThe right upper abdomen, often after a fatty meal
- DThe left lower abdomen, usually after drinking water
4.ふつう
A patient is receiving IV fluids for several days. Which monitoring is essential?
- AWeekly temperature and a single blood glucose reading
- BFluid balance, regular weights and urea, creatinine and electrolytes
- CMonthly HbA1c
- DPeak flow readings
5.ふつう
A patient has a fentanyl patch for chronic pain. Which advice is correct?
- ACut the patch in half if the pain improves, to lower the dose
- BAvoid heat sources such as hot water bottles over the patch
- CApply the patch to broken skin for faster effect
- DKeep using the old patch with the new one
6.ふつう
Which is a major risk factor for Clostridioides difficile infection?
- ATaking regular paracetamol
- BRecent broad-spectrum antibiotic use
- CRegular exercise
- DA diet high in fibre and fresh fruit
7.むずかしい
A patient with full mental capacity decides against a treatment that the team thinks is best. What does the Mental Capacity Act 2005 (England and Wales) say?
- AThe family may make the decision instead if they disagree with the patient's choice
- BThe team may override any decision that it disagrees with if it is serious
- CThe patient must be assessed by a psychiatrist before refusing
- DA person is not treated as lacking capacity just because they make an unwise decision
8.むずかしい
Which action is most important in protecting a patient with severe neutropenia from infection?
- AGiving routine intramuscular injections
- BTaking rectal temperatures regularly
- CKeeping fresh flowers and plants in the room to help the patient's mood
- DStrict hand hygiene by everyone who has contact with the patient
解答
- 1. D · Air flowing through narrowed airways
- 2. B · To protect themselves from exposure to hazardous drugs
- 3. C · The right upper abdomen, often after a fatty meal
- 4. B · Fluid balance, regular weights and urea, creatinine and electrolytes
- 5. B · Avoid heat sources such as hot water bottles over the patch
- 6. B · Recent broad-spectrum antibiotic use
- 7. D · A person is not treated as lacking capacity just because they make an unwise decision
- 8. D · Strict hand hygiene by everyone who has contact with the patient
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。