1.やさしい
What is the Visual Infusion Phlebitis (VIP) score used for?
- AMeasuring the speed and volume of an infusion
- BAssessing a cannula site for signs of phlebitis
- CScoring the patient's pain
- DChecking blood glucose control
2.やさしい
Why are patients having chemotherapy at increased risk of infection?
- AChemotherapy suppresses the bone marrow and lowers the white cell count
- BChemotherapy raises the white cell count too high for it to work properly
- CChemotherapy stops the patient from sweating
- DChemotherapy makes the skin thicker
3.やさしい
Long-term uncontrolled high blood pressure increases the risk of:
- AHypothyroidism, gout and hair loss
- BStroke, heart attack and kidney disease
- CAsthma, eczema and hay fever
- DAnaemia and osteoporosis
4.ふつう
A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?
- APatients can be seriously injured climbing over or becoming trapped in rails
- BBed rails stop staff from taking observations
- CBed rails are illegal in all hospitals and must never be used at all
- DBed rails always make patients more confused, but only during the day
5.ふつう
A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?
- ANasal cannula at 2 L/min
- BVenturi mask set to 24%
- CSimple face mask at 5 L/min with the patient sitting up
- DNon-rebreathe mask with reservoir bag at 15 L/min
6.ふつう
Why can a very low serum albumin contribute to oedema?
- AIt makes the kidneys retain potassium
- BIt increases the number of red cells
- CIt lowers the oncotic pressure that holds fluid in the blood vessels
- DIt raises the blood pressure in the capillaries and pushes fluid out
7.むずかしい
A patient with small cell lung cancer has hyponatraemia, concentrated urine and no signs of dehydration. Which condition and first measure fit best?
- ACushing's syndrome, managed with potassium
- BSIADH, often managed first with fluid restriction
- CDehydration, managed with an IV fluid bolus
- DDiabetes insipidus, managed with extra fluids
8.むずかしい
大手術後の患者の血圧が下がり、心拍数が上がり、腹部が膨れて張っていますが、創部のドレッシングは乾いています。何を疑うべきですか?
- A内出血
- B尿路感染症
- C便秘
- D心配のない正常な術後の腫れ
解答
- 1. B · Assessing a cannula site for signs of phlebitis
- 2. A · Chemotherapy suppresses the bone marrow and lowers the white cell count
- 3. B · Stroke, heart attack and kidney disease
- 4. A · Patients can be seriously injured climbing over or becoming trapped in rails
- 5. D · Non-rebreathe mask with reservoir bag at 15 L/min
- 6. C · It lowers the oncotic pressure that holds fluid in the blood vessels
- 7. B · SIADH, often managed first with fluid restriction
- 8. A · 内出血
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