1.やさしい
A pleural effusion is:
- AAn infection of the bronchi
- BA blood clot in the lung
- CAir in the pleural space after an injury
- DA collection of fluid in the pleural space
2.やさしい
心筋梗塞に最も典型的な症状は?
- A肋骨の 1 本を押したときの鋭い痛み
- B腕やあごに広がることのある胸の中央の痛みや圧迫感
- C深呼吸で悪化し、前かがみになると和らぐ鋭い痛み
- D右下腹部だけの痛み
3.やさしい
The term "pyrexia" means:
- AA slow heart rate
- BA low body temperature
- CA fast breathing rate
- DA raised body temperature
4.ふつう
患者に疝痛性の腹痛、腹部膨満、嘔吐があり、2 日間排便も排ガスもありません。考えられる問題は?
- A胃腸炎
- B過敏性腸症候群
- C腸閉塞
- D合併症のない虫垂炎
5.ふつう
A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?
- AApply a tight bandage over the fistula at night to protect it
- BKeep the arm raised and still at all times
- CAvoid blood pressure readings and blood samples on that arm
- DUse the fistula arm for routine IV cannulas
6.ふつう
Which oxygen device delivers a precise, fixed concentration of oxygen?
- ANon-rebreathe mask
- BSimple face mask
- CVenturi mask
- DNasal cannula
7.むずかしい
An adult with capacity refuses a blood transfusion for religious reasons, even though it may save their life. What should the nurse do?
- AGive the transfusion while the patient is asleep, as it is in their best interests
- BAsk a family member to consent instead
- CRespect the refusal, check it is informed and document it, and inform the team
- DSedate the patient so the transfusion can be given
8.むずかしい
A patient with full mental capacity decides against a treatment that the team thinks is best. What does the Mental Capacity Act 2005 (England and Wales) say?
- AThe family may make the decision instead if they disagree with the patient's choice
- BA person is not treated as lacking capacity just because they make an unwise decision
- CThe patient must be assessed by a psychiatrist before refusing
- DThe team may override any decision that it disagrees with if it is serious
解答
- 1. D · A collection of fluid in the pleural space
- 2. B · 腕やあごに広がることのある胸の中央の痛みや圧迫感
- 3. D · A raised body temperature
- 4. C · 腸閉塞
- 5. C · Avoid blood pressure readings and blood samples on that arm
- 6. C · Venturi mask
- 7. C · Respect the refusal, check it is informed and document it, and inform the team
- 8. B · A person is not treated as lacking capacity just because they make an unwise decision
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