1.やさしい
The term "epistaxis" means:
- ACoughing up blood
- BBlood in the urine
- CBleeding gums
- DA nosebleed
2.やさしい
When monitoring fluid balance, a rapid gain of 1 kg in body weight roughly equals:
- A1 litre of retained fluid
- B100 mL of retained fluid
- C10 mL of retained fluid
- D5 litres of retained fluid
3.やさしい
If a blood pressure cuff is too small for the patient's arm, the reading will tend to be:
- AFalsely low
- BImpossible to obtain
- CAccurate
- DFalsely high
4.ふつう
A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?
- AStarting a fast intravenous infusion to correct the dryness
- BFrequent mouth care that keeps the lips and mouth moist
- CInserting a nasogastric tube for fluids
- DLeaving the mouth alone to avoid disturbing them
5.ふつう
Which group of symptoms suggests hypothyroidism?
- AExcessive thirst and passing large volumes of urine
- BFever, neck stiffness and photophobia
- CWeight loss, heat intolerance and tremor
- DTiredness, weight gain and feeling cold
6.ふつう
A patient is having a 12-lead ECG. Where are the chest electrodes placed?
- AIn a straight line down the centre of the sternum from top to bottom
- BIn standard numbered positions across the front and left of the chest
- COn both shoulders and both hips only
- DAnywhere on the chest where the skin is clear
7.むずかしい
A conscious patient with hypoglycaemia was given fast-acting carbohydrate. On re-check 15 minutes later the blood glucose is 3.6 mmol/L (65 mg/dL). What should the nurse do next?
- ATake no action because the level is rising
- BGive a dose of subcutaneous insulin
- CGive another dose of fast-acting carbohydrate and recheck
- DGive a long-acting carbohydrate snack only and recheck tomorrow
8.むずかしい
How should pain be assessed in a patient with advanced dementia who cannot describe it?
- ABy asking the patient to rate their pain on a numerical scale from 0 to 10
- BWith an observational pain tool that scores facial expression, behaviour and body language
- CBy checking the blood pressure only
- DBy assuming the patient has no pain unless they are crying out or calling for help
解答
- 1. D · A nosebleed
- 2. A · 1 litre of retained fluid
- 3. D · Falsely high
- 4. B · Frequent mouth care that keeps the lips and mouth moist
- 5. D · Tiredness, weight gain and feeling cold
- 6. B · In standard numbered positions across the front and left of the chest
- 7. C · Give another dose of fast-acting carbohydrate and recheck
- 8. B · With an observational pain tool that scores facial expression, behaviour and body language
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