1.やさしい
Which chest X-ray finding is classic for sarcoidosis?
- AA single round mass in one apex
- BA completely white lung on one side
- CEnlarged lymph nodes at both lung hila
- DA visible edge of collapsed lung
2.やさしい
心不全の患者の体重は、毎日いつ測るのが最もよいですか?
- A息苦しさが増したと患者が訴えたときはいつでも
- B週に1回、その日に空いている病棟の体重計で
- C毎朝、排尿後、朝食前に、同じ体重計で
- D毎晩、主な食事の後、同じ日中の服装で
3.やさしい
Which drug reverses the effect of unfractionated heparin?
- AProtamine sulfate
- BFlumazenil
- CNaloxone
- DVitamin K (phytomenadione)
4.ふつう
上室性頻拍の患者に、アデノシンの静注を行う予定です。看護師は何について説明しておくべきですか?
- Aその後の数時間にわたる眠気、呂律の回らなさ、錯乱
- B一時的な顔面紅潮や胸部の締めつけ感と、数秒間の心停止
- Cその後、数日間続く頭痛
- D約1週間続く腕の静脈に沿った焼けるような痛み
5.ふつう
静脈性下腿潰瘍に圧迫療法を行う前に、不可欠なアセスメントはどれですか?
- A全血球計算とCRP
- B足関節上腕血圧比(ABPI)
- C培養と感受性検査のための創部スワブ
- D胸部X線と心電図
6.ふつう
A patient's blood pressure is high in clinic but normal on home readings. Which step best confirms the diagnosis?
- AA chest X-ray
- BStarting two antihypertensive drugs at once at full dose
- CA single repeat reading in the same clinic visit
- DAmbulatory or structured home blood pressure monitoring
7.むずかしい
Shortly after a thoracentesis, a patient becomes breathless with sharp chest pain and reduced breath sounds on the same side. What complication is most likely?
- ARe-accumulation of the effusion
- BInfection at the puncture site
- CPneumothorax
- DPulmonary embolism from the leg
8.むずかしい
A nurse teaches a patient with heart failure who takes ramipril and spironolactone. Which statement shows a need for further teaching?
- A"I will avoid ibuprofen for my joint pain."
- B"I will weigh myself every morning after I go to the toilet."
- C"I will call if I gain weight quickly or get more breathless."
- D"I will use a salt substitute instead of ordinary salt."
解答
- 1. C · Enlarged lymph nodes at both lung hila
- 2. C · 毎朝、排尿後、朝食前に、同じ体重計で
- 3. A · Protamine sulfate
- 4. B · 一時的な顔面紅潮や胸部の締めつけ感と、数秒間の心停止
- 5. B · 足関節上腕血圧比(ABPI)
- 6. D · Ambulatory or structured home blood pressure monitoring
- 7. C · Pneumothorax
- 8. D · "I will use a salt substitute instead of ordinary salt."
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