1.やさしい
Hepatitis A is mainly spread by:
- ASexual contact only
- BBlood transfusion
- CThe faecal–oral route
- DMosquito bites
2.やさしい
Pain from gallstones (biliary colic) is typically felt in which area?
- ABehind the left knee
- BThe left lower abdomen, usually after drinking water
- CThe lower back on the left, when walking
- DThe right upper abdomen, often after a fatty meal
3.やさしい
Before moving or handling a patient, what should the nurse do first?
- ALift the patient quickly before they become tired or anxious
- BAssess the risks and choose the right equipment and number of staff
- CAsk the patient's relative to help lift them to save time
- DBend at the waist and keep the knees straight
4.ふつう
HbA1c は何を測りますか?
- A過去およそ 2~3 か月の平均血糖
- B検査した瞬間の血糖
- C食後のインスリン濃度
- D尿中のケトンの量
5.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鎮静薬を与えて後で再確認する
- B集中治療の技能を持つ臨床チームによる緊急評価
- C12 時間ごとの観察を続ける
- Dスコアを記録し、観察を増やして、朝の回診を待つ
6.ふつう
A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?
- AMagnesium
- BPhosphate
- CSodium
- DChloride
7.むずかしい
Soon after starting chemotherapy for a high-grade lymphoma, a patient has rising potassium, phosphate and uric acid with falling urine output. What is the most likely cause?
- ASyndrome of inappropriate ADH secretion
- BRefeeding syndrome
- CAdrenal insufficiency
- DTumour lysis syndrome
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"A big meal just before bed is fine if I take my tablet."
- D"I will try to lose some weight over the next months."
解答
- 1. C · The faecal–oral route
- 2. D · The right upper abdomen, often after a fatty meal
- 3. B · Assess the risks and choose the right equipment and number of staff
- 4. A · 過去およそ 2~3 か月の平均血糖
- 5. B · 集中治療の技能を持つ臨床チームによる緊急評価
- 6. A · Magnesium
- 7. D · Tumour lysis syndrome
- 8. C · "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。