1.やさしい
How does omeprazole work?
- AIt speeds up the emptying of the stomach
- BIt kills bacteria in the bowel
- CIt neutralises acid already in the stomach
- DIt reduces the production of stomach acid
2.やさしい
The term "dyspnoea" means:
- AChest pain on breathing
- BA cough with sputum
- CBreathlessness
- DNoisy breathing during sleep
3.やさしい
The term "pallor" means:
- AA red, raised rash
- BAbnormal paleness of the skin
- CBluish fingertips
- DYellowing of the skin and eyes
4.ふつう
患者に新たな混乱があり、呼吸数は 24 回/分、収縮期血圧は 95 mmHg です。まず何を疑うべきですか?
- A正常な術後の回復
- B敗血症
- Cアルコール中毒
- D不安
5.ふつう
A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?
- AWithout monitoring oxygen saturation
- BOnly with the patient lying flat
- CDriven by compressed air, with oxygen given separately if needed
- DDriven by high-flow oxygen at 15 L/min for as long as possible
6.ふつう
Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?
- AHyperventilation
- BHyperthyroidism
- CHypoxia
- DHypertension
7.むずかしい
A hypotensive postoperative patient is given a fluid bolus. Which findings suggest a good response?
- AThe capillary refill time becomes longer
- BThe respiratory rate rises and new lung crackles appear
- CThe heart rate falls, blood pressure rises and urine output improves
- DThe heart rate rises further and the patient becomes more confused
8.むずかしい
A nurse teaches a patient with a new ileostomy. Which statement shows a need for further teaching?
- A"I will drink extra fluids when it is hot."
- B"I will empty the bag when it is about a third to half full."
- C"My stoma should look pink or red and moist."
- D"My output will be firm and formed like before."
解答
- 1. D · It reduces the production of stomach acid
- 2. C · Breathlessness
- 3. B · Abnormal paleness of the skin
- 4. B · 敗血症
- 5. C · Driven by compressed air, with oxygen given separately if needed
- 6. C · Hypoxia
- 7. C · The heart rate falls, blood pressure rises and urine output improves
- 8. D · "My output will be firm and formed like before."
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