1.やさしい
Which serious complication is strongly linked with untreated hypertension?
- AStroke
- BCataract
- CPneumonia
- DAsthma
2.やさしい
What does "hypovolaemia" mean?
- AA low level of sodium in the blood
- BA high level of fluid in the tissues
- CA low level of haemoglobin with a normal blood volume
- DA reduced volume of blood in the circulation
3.やさしい
How does CPAP help in obstructive sleep apnoea?
- AIt delivers a drug that relaxes the airway muscles overnight
- BConstant positive pressure holds the upper airway open
- CIt removes carbon dioxide through a filter
- DIt slows the breathing rate during sleep
4.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
- BDiscuss switching medicine with the prescriber before trying to conceive
- CContinue lisinopril, as it is the safest blood pressure drug in pregnancy
- DStop all blood pressure treatment straight away without telling anyone
5.ふつう
現在のガイダンスによると、急性冠症候群の患者に酸素を投与するのはいつですか?
- ASpO₂が目標範囲を下回るときだけ
- Bトロポニンの結果が出てからだけ
- C酸素は心筋を傷めるので、決して投与しない
- D飽和度にかかわらず、常に15 L/分で
6.ふつう
A patient takes both digoxin and furosemide. Why does the nurse watch the potassium level closely?
- AHigh potassium is the main effect of furosemide
- BLow potassium makes digoxin stop working completely
- CPotassium has no link with either medicine
- DLow potassium increases the risk of digoxin toxicity
7.むずかしい
Minutes after an IV antibiotic is started, a patient has wheeze, swollen lips, a rash and BP 78/44 mmHg. The infusion has been stopped and help called. What is the next priority?
- AGive intramuscular adrenaline (epinephrine)
- BGive a nebulised salbutamol dose only
- CGive an oral antihistamine tablet and observe for an hour
- DRestart the infusion at a slower rate
8.むずかしい
On day 2 after a surgical tracheostomy, the tube falls out. The patient is breathing but distressed. What should the nurse do first?
- ALeave the patient alone while fetching a new tube
- BForce the tube back through the stoma immediately with firm pressure
- CCover the stoma completely with a sealed dressing and wait for help
- DCall for expert help and give oxygen to both the face and the stoma
解答
- 1. A · Stroke
- 2. D · A reduced volume of blood in the circulation
- 3. B · Constant positive pressure holds the upper airway open
- 4. B · Discuss switching medicine with the prescriber before trying to conceive
- 5. A · SpO₂が目標範囲を下回るときだけ
- 6. D · Low potassium increases the risk of digoxin toxicity
- 7. A · Give intramuscular adrenaline (epinephrine)
- 8. D · Call for expert help and give oxygen to both the face and the stoma
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