1.やさしい
What does the term "afterload" describe?
- AThe volume of blood returning to the right atrium each minute
- BThe stretch of the ventricle before it contracts
- CThe time the heart takes to relax after each beat
- DThe resistance the ventricle must overcome to eject blood
2.やさしい
胸腔ドレナージユニットはどこに置きますか?
- A場所をとらないよう、ベッドの下に横倒しにして
- Bベッドの上に吊るして、吸引で排液されるようにして
- C立てた状態で、患者の肩の高さに
- D立てた状態で、胸より低い位置に
3.やさしい
典型的な胸痛を伴わない心筋梗塞を起こしやすい患者群はどれですか?
- A10代の若者と喘息のある人
- B高齢者、女性、糖尿病のある人
- C若い男性と定期的に運動をする人
- D喫煙者と、コレステロールが高い人や肥満の人
4.ふつう
After a bronchoscopy with throat anaesthesia, when can the patient eat and drink?
- AWhen the gag and cough reflexes have returned
- BAfter a full 24 hours without food
- CImmediately after the scope is removed
- DOnly after a chest X-ray has been reported
5.ふつう
A woman with hypertension who takes lisinopril says she is planning a pregnancy. What should the nurse advise?
- ADouble the dose to protect the baby from high blood pressure
- BStop all blood pressure treatment straight away without telling anyone
- CContinue lisinopril, as it is the safest blood pressure drug in pregnancy
- DDiscuss switching medicine with the prescriber before trying to conceive
6.ふつう
A 70 kg patient has passed 20 mL of urine per hour for the last three hours. How should this be interpreted?
- ANormal, because any measurable urine output is reassuring
- BHigh, suggesting fluid overload that needs a diuretic
- CBelow 0.5 mL/kg/h, suggesting poor kidney perfusion
- DNormal, because the target is 0.1 mL/kg/h
7.むずかしい
A patient with a tracheostomy suddenly becomes distressed, and a suction catheter will not pass down the tube. What should the nurse do first?
- AGive a nebulised bronchodilator
- BInflate the cuff with more air
- CRemove the inner cannula
- DIncrease the oxygen and wait
8.むずかしい
A nurse reviews inhaler use with a patient who has asthma and uses a separate steroid preventer inhaler and a salbutamol reliever. Which statement shows a need for further teaching?
- A"I carry my blue reliever inhaler with me."
- B"I rinse my mouth after the steroid inhaler."
- C"I use my steroid inhaler every day, even when I feel well."
- D"I use my steroid inhaler when I start to wheeze."
解答
- 1. D · The resistance the ventricle must overcome to eject blood
- 2. D · 立てた状態で、胸より低い位置に
- 3. B · 高齢者、女性、糖尿病のある人
- 4. A · When the gag and cough reflexes have returned
- 5. D · Discuss switching medicine with the prescriber before trying to conceive
- 6. C · Below 0.5 mL/kg/h, suggesting poor kidney perfusion
- 7. C · Remove the inner cannula
- 8. D · "I use my steroid inhaler when I start to wheeze."
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