1.やさしい
Which of these is one of the "rights" of safe medication administration?
- ARight route
- BRight nurse on duty
- CRight bed number
- DRight brand of packaging
2.やさしい
What does a pulse oximeter measure?
- AThe percentage of haemoglobin saturated with oxygen
- BThe amount of oxygen dissolved in the plasma
- CThe concentration of haemoglobin in the blood
- DThe partial pressure of carbon dioxide in the blood
3.やさしい
Which structure is the heart's natural pacemaker?
- AThe left ventricle
- BThe mitral valve in the left side of the heart
- CThe sinoatrial (SA) node
- DThe aorta
4.ふつう
A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?
- AMetabolic acidosis
- BRespiratory alkalosis
- CMetabolic alkalosis
- DRespiratory acidosis
5.ふつう
A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?
- ALeaving the mouth alone to avoid disturbing them
- BStarting a fast intravenous infusion to correct the dryness
- CFrequent mouth care that keeps the lips and mouth moist
- DInserting a nasogastric tube for fluids
6.ふつう
Which examination findings suggest a large pleural effusion on one side?
- AWheeze heard over both lungs
- BDull percussion and reduced breath sounds over the lung base
- CNormal breath sounds and normal percussion
- DA hyper-resonant chest with the trachea pulled towards that side
7.むずかしい
長期間の飢餓の後に経腸栄養を始めた患者に、低リン血症、低カリウム血症、不整脈が起こりました。最も考えられるのは?
- A甲状腺機能亢進症
- B糖尿病性ケトアシドーシス
- Cダンピング症候群
- Dリフィーディング症候群
8.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
- BA person is not treated as lacking capacity just because they make an unwise decision
- CThe patient must be assessed by a psychiatrist before refusing
- DThe team may override any decision that it disagrees with if it is serious
解答
- 1. A · Right route
- 2. A · The percentage of haemoglobin saturated with oxygen
- 3. C · The sinoatrial (SA) node
- 4. A · Metabolic acidosis
- 5. C · Frequent mouth care that keeps the lips and mouth moist
- 6. B · Dull percussion and reduced breath sounds over the lung base
- 7. D · リフィーディング症候群
- 8. B · A person is not treated as lacking capacity just because they make an unwise decision
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