1.やさしい
What is the normal resting heart rate range for an adult?
- A60–100 beats per minute
- B100–140 beats per minute
- C30–50 beats per minute
- D40–60 beats per minute
2.やさしい
手足にギプスを巻いた後、定期的に行うべき観察は?
- Aピークフローの測定
- Bギプスより末梢の神経・血管の観察
- C聴力検査
- D視力検査
3.やさしい
The WHO Surgical Safety Checklist is mainly used to:
- AReduce avoidable errors and harm during surgery
- BRecord the cost of the operation and the equipment
- CMeasure the surgeon's speed
- DBook the next theatre list
4.ふつう
After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?
- AWalking short distances with a frame and a physiotherapist
- BDoing gentle ankle exercises
- CBending the hip beyond 90 degrees or crossing the legs
- DLying on their back
5.ふつう
Which group of features is typical of nephrotic syndrome?
- APolyuria, thirst and weight loss
- BSevere loin pain and fever
- CHeavy proteinuria, low serum albumin and oedema
- DBlood in the urine, high blood pressure and reduced urine output only
6.ふつう
A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?
- AA rise in weight and more lung crackles
- BIncreased urine output, less breathlessness and a falling weight
- CA rise in blood pressure and a new cough
- DFalling urine output, new ankle swelling and a rise in weight
7.むずかしい
Soon after starting chemotherapy for a high-grade lymphoma, a patient has rising potassium, phosphate and uric acid with falling urine output. What is the most likely cause?
- AAdrenal insufficiency
- BSyndrome of inappropriate ADH secretion
- CTumour lysis syndrome
- DRefeeding syndrome
8.むずかしい
A nurse teaches a patient with heart failure about self-care. Which statement shows a need for further teaching?
- A"I only need to weigh myself once a month."
- B"I will take my water tablet in the morning."
- C"I will weigh myself each morning after passing urine."
- D"I will report it if I need more pillows to sleep."
解答
- 1. A · 60–100 beats per minute
- 2. B · ギプスより末梢の神経・血管の観察
- 3. A · Reduce avoidable errors and harm during surgery
- 4. C · Bending the hip beyond 90 degrees or crossing the legs
- 5. C · Heavy proteinuria, low serum albumin and oedema
- 6. B · Increased urine output, less breathlessness and a falling weight
- 7. C · Tumour lysis syndrome
- 8. A · "I only need to weigh myself once a month."
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