1.やさしい
Which of these is a common allergic trigger of asthma?
- AEating rice
- BWearing cotton clothes
- CDrinking water
- DHouse dust mite
2.やさしい
心筋梗塞の後、トロポニン値は、おおよそどのくらいの期間高いままでいられますか?
- A胸痛が止まるまで
- B約10~14日間まで
- C約6か月間
- D最初の2時間だけ
3.やさしい
Which valve lies between the left atrium and the left ventricle?
- AThe tricuspid valve
- BThe pulmonary valve
- CThe mitral valve
- DThe aortic valve
4.ふつう
Why are IV fluids given cautiously to a patient with heart failure?
- AExtra volume can quickly cause pulmonary oedema
- BIV fluids stop diuretics from being absorbed
- CIV fluids directly damage the heart valves
- DIV fluids lower the blood pressure dangerously
5.ふつう
A patient uses a salbutamol (albuterol) inhaler and a steroid inhaler at the same times each day. Which order is usually taught?
- ABoth inhalers puffed together in one breath
- BSteroid first, then salbutamol straight afterwards
- CSalbutamol first, then the steroid after a short wait
- DThe order makes no difference to either drug
6.ふつう
Why must intravenous potassium chloride never be given as a rapid push or undiluted?
- AA sudden high potassium level can cause cardiac arrest
- BIt works only when given by mouth
- CIt immediately lowers the blood glucose to dangerous levels
- DIt turns into solid crystals inside the vein and blocks it
7.むずかしい
A patient on a morphine PCA after surgery is very drowsy, with a respiratory rate of 7/min and pinpoint pupils. SpO₂ is 89%. What should the nurse do first?
- ALeave the patient to sleep and recheck the observations in an hour
- BStop the PCA, support breathing, give oxygen and get naloxone
- CGive a sedative to keep the patient comfortable
- DEncourage the patient to keep pressing the PCA button for comfort
8.むずかしい
A 74-year-old man with a known abdominal aortic aneurysm suddenly has severe back and abdominal pain. His heart rate is 128/min and BP 82/50 mmHg. What is the priority?
- AArrange a routine outpatient ultrasound scan of the aneurysm
- BEncourage him to walk to ease the back pain
- CGive oral analgesia and reassess the pain in an hour
- DCall for emergency help and prepare for urgent vascular surgery
解答
- 1. D · House dust mite
- 2. B · 約10~14日間まで
- 3. C · The mitral valve
- 4. A · Extra volume can quickly cause pulmonary oedema
- 5. C · Salbutamol first, then the steroid after a short wait
- 6. A · A sudden high potassium level can cause cardiac arrest
- 7. B · Stop the PCA, support breathing, give oxygen and get naloxone
- 8. D · Call for emergency help and prepare for urgent vascular surgery
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