1.やさしい
A pressure ulcer with partial-thickness skin loss, seen as a shallow open wound or an intact blister, is which category (stage)?
- ACategory 2
- BCategory 3
- CCategory 1
- DCategory 4
2.やさしい
What does MRSA stand for?
- AMeticillin (methicillin)-resistant Staphylococcus aureus
- BMultiple-resistant Streptococcus agent
- CMicrobial resistance surveillance alert
- DMixed respiratory syncytial antigen
3.やさしい
A pleural effusion is:
- AA blood clot in the lung
- BA collection of fluid in the pleural space
- CAn infection of the bronchi
- DAir in the pleural space after an injury
4.ふつう
A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?
- ADelaying pain relief until a diagnosis is confirmed
- BGiving prompt, effective analgesia
- CRestricting oral fluids
- DApplying cold packs to the painful areas
5.ふつう
A patient with dysphagia after a stroke has been cleared for a modified diet. How should they be positioned for meals?
- ALying on their side with the knees bent
- BLying flat on their back with the head turned to one side
- CSitting fully upright, and staying upright for a time after eating
- DSemi-reclined at about 20 degrees, with the head supported on pillows
6.ふつう
Which ECG change is typical of hypokalaemia?
- AA very short PR interval with a delta wave
- BFlattened T waves and prominent U waves
- CTall, peaked T waves
- DST elevation in leads II, III and aVF
7.むずかしい
腸切除術の 2 日後、患者の痛みが強まり、発熱と頻脈があり、創部ドレーンに便のような排液がみられます。最も考えられるのは?
- A正常な術後の回復
- B便秘
- C縫合不全
- D尿閉
8.むずかしい
Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?
- ABeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
- BBeta-blockers can mask warning signs such as tremor and a fast heart rate
- CBeta-blockers make the patient sleep through the night
- DBeta-blockers stop the liver from responding to insulin
解答
- 1. A · Category 2
- 2. A · Meticillin (methicillin)-resistant Staphylococcus aureus
- 3. B · A collection of fluid in the pleural space
- 4. B · Giving prompt, effective analgesia
- 5. C · Sitting fully upright, and staying upright for a time after eating
- 6. B · Flattened T waves and prominent U waves
- 7. C · 縫合不全
- 8. B · Beta-blockers can mask warning signs such as tremor and a fast heart rate
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