1.やさしい
意識があり協力できる成人の低血糖に対する第一選択の対応は?
- A静脈から 0.9% 生理食塩水だけを入れ、1 時間後に血糖を再確認する
- Bインスリンを注射する
- Cブドウ糖タブレットやジュースなど、即効性の糖質を口から与える
- D脂っこい食事をたっぷりとらせる
2.やさしい
How is body mass index (BMI) calculated?
- AHeight in metres divided by weight in kilograms, then squared
- BWeight in kilograms divided by height in metres squared
- CWeight in kilograms multiplied by height in metres
- DWaist size divided by hip size
3.やさしい
狭心症に典型的な症状は?
- A労作時に起こり、安静で治まる胸の痛み
- B歩くと起こり、安静で治まるふくらはぎの痛み
- C何日も続き、活動に左右されない痛み
- D胸壁を押したときだけの鋭い痛み
4.ふつう
2 型糖尿病の患者が急に具合が悪くなり、強い脱水があり、血糖は 40 mmol/L ですが、ケトンはほとんどありません。最も考えられる診断は?
- A低血糖
- B尿崩症
- C高浸透圧高血糖状態
- D脱水を伴う糖尿病性ケトアシドーシス
5.ふつう
Why are patients encouraged to use an incentive spirometer after abdominal surgery?
- ATo measure their lung function so the result can go in the discharge letter
- BTo lower their heart rate before mobilising
- CTo encourage deep breaths that prevent atelectasis and chest infection
- DTo strengthen the abdominal muscles around the wound
6.ふつう
Why should a urinary catheter drainage bag be kept below the level of the bladder?
- ATo prevent urine flowing back into the bladder
- BTo stop the catheter from falling out
- CTo make the bag easier for the nurse to empty
- DTo keep the urine warm
7.むずかしい
Three days after bowel surgery, a patient has a distended abdomen, vomiting and absent bowel sounds, without colicky pain. What is most likely?
- AAcute cholecystitis
- BParalytic ileus
- CA urinary tract infection
- DNormal recovery after surgery
8.むずかしい
A nurse teaches a patient with reflux disease. Which statement shows a need for further teaching?
- A"I will cut down on alcohol."
- B"I will raise the head of my bed with blocks."
- C"I will try to lose some weight over the next months."
- D"A big meal just before bed is fine if I take my tablet."
解答
- 1. C · ブドウ糖タブレットやジュースなど、即効性の糖質を口から与える
- 2. B · Weight in kilograms divided by height in metres squared
- 3. A · 労作時に起こり、安静で治まる胸の痛み
- 4. C · 高浸透圧高血糖状態
- 5. C · To encourage deep breaths that prevent atelectasis and chest infection
- 6. A · To prevent urine flowing back into the bladder
- 7. B · Paralytic ileus
- 8. D · "A big meal just before bed is fine if I take my tablet."
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。