1.やさしい
How deep should chest compressions be during adult CPR?
- A1–2 cm
- B5–6 cm
- C2–3 cm
- D8–10 cm
2.やさしい
成人で脱水を示唆するサインは?
- A口の潤い、薄い尿、正常な脈拍
- B足首のむくみ、肺の断続性ラ音、頸静脈圧の上昇
- C2 日間での体重増加
- D口の乾き、濃く濃縮された尿、頻脈
3.やさしい
オピオイドによる呼吸抑制を拮抗する薬は?
- Aビタミン K
- Bナロキソン
- Cフルマゼニル
- Dアトロピン
4.ふつう
Which mask is required for staff during an aerosol-generating procedure on a patient with a respiratory infection spread by aerosols?
- AA cloth face covering
- BA standard fluid-repellent surgical mask with a visor
- CNo mask, as long as gloves are worn
- DA fit-tested respirator mask (such as FFP3 or N95)
5.ふつう
A patient on the ward has shingles with open blisters. Which people are most at risk from contact?
- AOnly people over 80 who have already had shingles themselves
- BPeople who have already had chickenpox in childhood and are now healthy
- CNo one, because shingles cannot spread
- DPregnant women and immunocompromised people who have not had chickenpox
6.ふつう
What happens in third-degree (complete) heart block?
- ANo impulses from the atria reach the ventricles, so they beat independently
- BThe ventricles beat very fast and regularly
- CEvery impulse reaches the ventricles, but each one is slightly delayed
- DThe atria beat chaotically with no P waves, and the ventricular rate is irregular
7.むずかしい
急性膵炎の患者が背部に放散する強い心窩部痛を訴えています。最も重要な看護ケアは?
- A十分な鎮痛、輸液、厳密な水分出納の観察
- B観察なしの厳格な安静
- C膵臓を刺激するための脂肪の多い食事
- Dすべての水分の制限
8.むずかしい
A patient on metformin with reduced kidney function is due a CT scan with IV contrast. Why might metformin be withheld?
- AMetformin reacts with the contrast to cause severe hyperglycaemia
- BThere is a risk of lactic acidosis if kidney function worsens
- CMetformin causes severe bleeding during scans
- DMetformin makes the images blurry
解答
- 1. B · 5–6 cm
- 2. D · 口の乾き、濃く濃縮された尿、頻脈
- 3. B · ナロキソン
- 4. D · A fit-tested respirator mask (such as FFP3 or N95)
- 5. D · Pregnant women and immunocompromised people who have not had chickenpox
- 6. A · No impulses from the atria reach the ventricles, so they beat independently
- 7. A · 十分な鎮痛、輸液、厳密な水分出納の観察
- 8. B · There is a risk of lactic acidosis if kidney function worsens
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