1.やさしい
What does the term "preload" describe?
- AThe force of contraction regardless of filling
- BThe stretch of the ventricle at the end of filling
- CThe amount of blood left in the atria after systole
- DThe resistance the ventricle pumps against
2.やさしい
Which drug reverses the effect of unfractionated heparin?
- AProtamine sulfate
- BFlumazenil
- CNaloxone
- DVitamin K (phytomenadione)
3.やさしい
Which side effect is typical of ACE inhibitors such as ramipril or lisinopril?
- AA persistent dry cough
- BA productive cough with green sputum
- CA fast, irregular heart rate
- DSwelling of both ankles
4.ふつう
高血圧の患者がアムロジピンを服用しています。看護師が最も観察しやすい副作用はどれですか?
- A乾いた、むずむずする咳
- B高カリウム血症
- C喘鳴
- D足首の腫れ
5.ふつう
A patient is on a short course of oral prednisolone for an asthma exacerbation. Which effect should the nurse monitor for?
- ALow blood pressure
- BRaised blood glucose
- CSlow heart rate
- DLow blood sodium
6.ふつう
The telemetry monitor suddenly shows a chaotic waveform resembling ventricular fibrillation, but the patient is talking and brushing their teeth. What should the nurse do first?
- AStart chest compressions straight away and call the arrest team
- BDeliver an immediate defibrillation shock before checking anything
- CCheck the patient and the electrodes, as this is likely artefact
- DGive IV amiodarone as a bolus
7.むずかしい
An older patient's varicose vein bursts at the ankle and bleeds heavily. What is the most effective first aid?
- AKeep the leg hanging down over the bed
- BStand the patient up so the blood flows away and clots faster
- CLie the patient down, raise the leg and press firmly on the site
- DApply a hot compress to the leg to help the vein close up
8.むずかしい
A frightened young woman is breathing fast and has tingling fingers. Her blood gas shows pH 7.50 and a low PaCO₂. SpO₂ is 99% on air. What does this show?
- AMetabolic acidosis from kidney failure
- BRespiratory acidosis from hypoventilation
- CMetabolic alkalosis from vomiting
- DRespiratory alkalosis from hyperventilation
解答
- 1. B · The stretch of the ventricle at the end of filling
- 2. A · Protamine sulfate
- 3. A · A persistent dry cough
- 4. D · 足首の腫れ
- 5. B · Raised blood glucose
- 6. C · Check the patient and the electrodes, as this is likely artefact
- 7. C · Lie the patient down, raise the leg and press firmly on the site
- 8. D · Respiratory alkalosis from hyperventilation
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