1.やさしい
Hepatitis B is mainly transmitted by:
- AInsect bites
- BBlood and other body fluids
- CCoughing and sneezing in a crowded room
- DTouching door handles
2.やさしい
What is the Visual Infusion Phlebitis (VIP) score used for?
- AMeasuring the speed and volume of an infusion
- BChecking blood glucose control
- CScoring the patient's pain
- DAssessing a cannula site for signs of phlebitis
3.やさしい
In the chain of infection, hand hygiene mainly breaks which link?
- AThe susceptibility of the host
- BThe reservoir of infection
- CThe mode of transmission
- DThe infectious agent's ability to grow
4.ふつう
A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?
- AAvoid blood pressure readings and blood samples on that arm
- BApply a tight bandage over the fistula at night to protect it
- CUse the fistula arm for routine IV cannulas
- DKeep the arm raised and still at all times
5.ふつう
A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?
- AA rise in weight and more lung crackles
- BFalling urine output, new ankle swelling and a rise in weight
- CIncreased urine output, less breathlessness and a falling weight
- DA rise in blood pressure and a new cough
6.ふつう
患者の NEWS2 スコアが 7 に上がりました。適切な対応は?
- A集中治療の技能を持つ臨床チームによる緊急評価
- Bスコアを記録し、観察を増やして、朝の回診を待つ
- C12 時間ごとの観察を続ける
- D鎮静薬を与えて後で再確認する
7.むずかしい
A patient taking regular ibuprofen suddenly develops severe upper abdominal pain, a rigid abdomen and becomes tachycardic. What is most likely?
- AA perforated peptic ulcer
- BConstipation
- CIndigestion that will settle with antacids
- DIrritable bowel syndrome
8.むずかしい
An older patient's blood pressure is 142/80 mmHg lying and 116/72 mmHg after standing for three minutes, and they feel dizzy. What does this show?
- APostural hypotension
- BHypertensive emergency
- CWhite coat hypertension
- DNormal blood pressure variation
解答
- 1. B · Blood and other body fluids
- 2. D · Assessing a cannula site for signs of phlebitis
- 3. C · The mode of transmission
- 4. A · Avoid blood pressure readings and blood samples on that arm
- 5. C · Increased urine output, less breathlessness and a falling weight
- 6. A · 集中治療の技能を持つ臨床チームによる緊急評価
- 7. A · A perforated peptic ulcer
- 8. A · Postural hypotension
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