1.やさしい
While an automated external defibrillator (AED) is analysing the rhythm or delivering a shock, what must everyone do?
- AKeep doing chest compressions without pausing
- BStand clear and not touch the patient
- CHold the patient's hand
- DGive rescue breaths
2.やさしい
Long-term uncontrolled high blood pressure increases the risk of:
- AStroke, heart attack and kidney disease
- BAnaemia and osteoporosis
- CAsthma, eczema and hay fever
- DHypothyroidism, gout and hair loss
3.やさしい
What is the main purpose of a surgical wound drain?
- ATo keep the wound open permanently so that it can be cleaned
- BTo give antibiotics directly into the wound bed
- CTo remove blood or fluid so it does not collect in the wound
- DTo measure the patient's temperature
4.ふつう
After removing a peripheral IV cannula, what should the nurse check?
- AThat the cannula is put back in its sterile packet for the next patient
- BThat the patient's blood glucose is normal before removal
- CThat the cannula is intact, and apply pressure until bleeding stops
- DThat the site is left uncovered and bleeding freely
5.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
6.ふつう
点滴中、カニューレ周囲が腫れて冷たく青白くなり、点滴の速度が遅くなりました。考えられることは?
- A循環の体液過剰
- B空気塞栓
- C周囲の組織への輸液の浸潤(漏れ)
- D静脈壁の細菌感染による静脈炎
7.むずかしい
A patient with an epidural catheter develops new back pain and increasing leg weakness when the block should be wearing off. What should be suspected?
- AMuscle strain from lying in the same position in bed for many hours
- BAn epidural haematoma or abscess compressing the spinal cord
- CThe normal expected effect of the local anaesthetic
- DMild hypokalaemia
8.むずかしい
A catheterised postoperative patient has passed only 10 mL of urine in the last two hours. What should the nurse check first?
- AThat the catheter and tubing are not kinked or blocked
- BWhether the patient has eaten breakfast
- CThe patient's cholesterol level from the admission bloods
- DThe patient's weight from last year
解答
- 1. B · Stand clear and not touch the patient
- 2. A · Stroke, heart attack and kidney disease
- 3. C · To remove blood or fluid so it does not collect in the wound
- 4. C · That the cannula is intact, and apply pressure until bleeding stops
- 5. B · Increased urine output, less breathlessness and a falling weight
- 6. C · 周囲の組織への輸液の浸潤(漏れ)
- 7. B · An epidural haematoma or abscess compressing the spinal cord
- 8. A · That the catheter and tubing are not kinked or blocked
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