1.やさしい
What are the two most common causes of peptic ulcers?
- ASpicy food and emotional stress on their own
- BLow fibre intake and lack of exercise
- CHelicobacter pylori infection and NSAID use
- DViral infection of the stomach and dehydration
2.やさしい
仙骨部の皮膚が損傷なく、指で押しても消えない発赤がある場合、褥瘡のどのカテゴリーに分類されますか?
- Aカテゴリー 1
- Bカテゴリー 3
- Cカテゴリー 4
- Dカテゴリー 2
3.やさしい
The WHO Surgical Safety Checklist is mainly used to:
- AMeasure the surgeon's speed
- BReduce avoidable errors and harm during surgery
- CRecord the cost of the operation and the equipment
- DBook the next theatre list
4.ふつう
A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?
- AApplying cold packs to the painful areas
- BRestricting oral fluids
- CGiving prompt, effective analgesia
- DDelaying pain relief until a diagnosis is confirmed
5.ふつう
Which type of painkiller should a patient with liver cirrhosis usually avoid?
- ALocal anaesthetic creams
- BParacetamol (acetaminophen), given in a carefully reduced and monitored dose
- CHot packs applied to a painful joint
- DNon-steroidal anti-inflammatory drugs such as ibuprofen
6.ふつう
Why are patients encouraged to use an incentive spirometer after abdominal surgery?
- ATo lower their heart rate before mobilising
- BTo encourage deep breaths that prevent atelectasis and chest infection
- CTo strengthen the abdominal muscles around the wound
- DTo measure their lung function so the result can go in the discharge letter
7.むずかしい
A patient took a large paracetamol (acetaminophen) overdose six hours ago and says they feel well. Why is treatment still urgent?
- AParacetamol overdose causes immediate breathing problems
- BPatients who feel well after six hours never need any treatment at all
- CParacetamol damage only shows up in the kidneys, many weeks later
- DLiver damage develops later, and the antidote works best when given early
8.むずかしい
A potassium result of 6.9 mmol/L comes back on a well patient with a normal ECG, and the laboratory reports that the sample was haemolysed. What is the best action?
- ARepeat the blood test promptly, as haemolysis can falsely raise potassium
- BGive IV insulin and glucose straight away
- CStart a potassium supplement
- DIgnore the result because the patient looks well and the ECG is normal
解答
- 1. C · Helicobacter pylori infection and NSAID use
- 2. A · カテゴリー 1
- 3. B · Reduce avoidable errors and harm during surgery
- 4. C · Giving prompt, effective analgesia
- 5. D · Non-steroidal anti-inflammatory drugs such as ibuprofen
- 6. B · To encourage deep breaths that prevent atelectasis and chest infection
- 7. D · Liver damage develops later, and the antidote works best when given early
- 8. A · Repeat the blood test promptly, as haemolysis can falsely raise potassium
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