1.やさしい
What is the normal range for arterial PaCO₂?
- AAbout 10–13 kPa (75–100 mmHg)
- BAbout 4.7–6.0 kPa (35–45 mmHg)
- CAbout 1.0–2.0 kPa (8–15 mmHg)
- DAbout 8.0–9.0 kPa (60–68 mmHg)
2.やさしい
心房細動で心拍数を遅くするためによく使われる薬はどれですか?
- Aビソプロロール(β遮断薬)
- Bアトルバスタチン(スタチン)
- Cアムロジピン(ジヒドロピリジン系カルシウム拮抗薬)
- Dフロセミド(ループ利尿薬)
3.やさしい
Which side effect is typical of ACE inhibitors such as ramipril or lisinopril?
- ASwelling of both ankles
- BA fast, irregular heart rate
- CA productive cough with green sputum
- DA persistent dry cough
4.ふつう
A patient is on a short course of oral prednisolone for an asthma exacerbation. Which effect should the nurse monitor for?
- ASlow heart rate
- BLow blood pressure
- CRaised blood glucose
- DLow blood sodium
5.ふつう
Why are IV fluids given cautiously to a patient with heart failure?
- AIV fluids stop diuretics from being absorbed
- BIV fluids directly damage the heart valves
- CIV fluids lower the blood pressure dangerously
- DExtra volume can quickly cause pulmonary oedema
6.ふつう
What is the purpose of a mucolytic such as carbocisteine in chronic productive cough?
- ATo make sputum thinner and easier to cough up
- BTo kill bacteria in the airways
- CTo widen the airways within minutes
- DTo stop the patient coughing completely, day and night
7.むずかしい
A ventilated patient with severe ARDS is to be turned prone. What is the main reason, and the key nursing risk?
- AIt lowers the blood pressure; the main risk is rebound hypertension
- BIt treats infection; the risk is fever
- CIt improves digestion and gut motility; the main risk is constipation
- DIt improves oxygenation; risks are pressure injury and tube displacement
8.むずかしい
After an anaphylactic reaction to a bee sting that responded to adrenaline (epinephrine), a patient asks to go home immediately. Which advice is most appropriate?
- AGo home and take antihistamines only if the throat swells
- BStay for observation, then go home with an adrenaline auto-injector and teaching
- CStay in hospital for at least two weeks on daily intravenous antihistamines
- DGo home straight away, because anaphylaxis never recurs once adrenaline has worked
解答
- 1. B · About 4.7–6.0 kPa (35–45 mmHg)
- 2. A · ビソプロロール(β遮断薬)
- 3. D · A persistent dry cough
- 4. C · Raised blood glucose
- 5. D · Extra volume can quickly cause pulmonary oedema
- 6. A · To make sputum thinner and easier to cough up
- 7. D · It improves oxygenation; risks are pressure injury and tube displacement
- 8. B · Stay for observation, then go home with an adrenaline auto-injector and teaching
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