1.やさしい
深部静脈血栓症の最も重篤な合併症はどれですか?
- A下肢静脈瘤
- B表在性血栓性静脈炎
- C血栓後の脚の腫れ
- D肺塞栓症
2.やさしい
What does the term "apnoea" mean?
- AA pause or stop in breathing
- BCoughing up blood
- CBreathlessness on lying flat
- DA breathing rate above normal
3.やさしい
Which organism is the most common bacterial cause of community-acquired pneumonia?
- AStreptococcus pneumoniae
- BClostridioides difficile
- CCandida albicans
- DEscherichia coli
4.ふつう
A patient with an implantable cardioverter-defibrillator asks what to do if it fires. Which teaching is correct?
- AIgnore any shock at all, because the device is designed to fire every day and needs no follow-up
- BDrive straight to hospital alone after any shock so the device can be checked by the team
- COne shock and well: contact the device clinic; repeated shocks or unwell: call emergency services
- DRemove the device battery at home if it fires more than once
5.ふつう
A patient with diabetes is starting a beta-blocker. What should the nurse teach about hypoglycaemia?
- ASome warning signs, such as a fast heartbeat, may be masked
- BHypoglycaemia will always cause a very slow and weak pulse
- CInsulin should be stopped while taking a beta-blocker
- DThe beta-blocker will prevent all episodes of hypoglycaemia
6.ふつう
After a prescribed IV fluid bolus for hypotension, what should the nurse do next?
- AReassess heart rate, blood pressure, urine output and lung sounds
- BStop all monitoring if the patient says they feel better
- CWait until the next routine observations in four hours
- DStart a second fluid bolus straight away without checking anything
7.むずかしい
A patient with end-stage COPD has severe breathlessness at rest despite optimal treatment and wants comfort-focused care. Which measure is recognised to help?
- AHigh-flow oxygen at 15 L/min whatever the oxygen saturation is
- BA low-dose opioid with a hand-held fan and calm positioning
- CEncouraging long walks to build fitness
- DStopping all medicines, including inhalers
8.むずかしい
朝のジゴキシン投与の前に、患者の心尖拍動が54/分で、吐き気があります。看護師はどうすべきですか?
- A橈骨動脈の脈拍だけが数えられるので、投与する
- B投与を保留して報告する(中毒の可能性があるため)
- C半量を投与し、1時間後に脈拍を再確認する
- D投与して制吐薬も与え、明日脈拍を再確認する
解答
- 1. D · 肺塞栓症
- 2. A · A pause or stop in breathing
- 3. A · Streptococcus pneumoniae
- 4. C · One shock and well: contact the device clinic; repeated shocks or unwell: call emergency services
- 5. A · Some warning signs, such as a fast heartbeat, may be masked
- 6. A · Reassess heart rate, blood pressure, urine output and lung sounds
- 7. B · A low-dose opioid with a hand-held fan and calm positioning
- 8. B · 投与を保留して報告する(中毒の可能性があるため)
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