1.やさしい
What is the normal resting heart rate range for an adult?
- A30–50 beats per minute
- B60–100 beats per minute
- C40–60 beats per minute
- D100–140 beats per minute
2.やさしい
吸入ステロイドを使った後に、口をすすぐのはなぜですか?
- A口腔カンジダ症と声のかすれを減らすため
- B薬を肺へ流し込むため
- C薬をより速く作用させるため
- D薬による振戦を予防するため
3.やさしい
Which finding on abdominal examination suggests an abdominal aortic aneurysm?
- ALoud, high-pitched bowel sounds
- BA dull area that shifts when the patient turns
- CA pulsating mass around the umbilicus
- DA tender lump in the right iliac fossa
4.ふつう
After an above-knee amputation, which measure helps prevent a hip flexion contracture?
- ALying prone for periods and avoiding pillows under the stump
- BKeeping a pillow under the stump at all times, day and night
- CKeeping the hip bent to reduce stump swelling
- DSitting in a chair for most of the day with the hips bent
5.ふつう
A patient stops ramipril because of a troublesome dry cough. Which drug class is a common alternative?
- AA non-selective beta-blocker such as propranolol
- BAn angiotensin II receptor blocker such as losartan
- CA loop diuretic such as furosemide
- DA nitrate such as isosorbide mononitrate
6.ふつう
Which energy-conservation advice is most useful for a patient with severe COPD?
- AAvoid any activity at all, staying in a chair to save their energy
- BHold the breath while lifting heavy objects
- CSit down for tasks such as washing and dressing, and pace activities
- DDo all the household tasks quickly in the morning to get them done
7.むずかしい
Three hours after femoral cardiac catheterisation, a patient has new lower back and flank pain, a heart rate of 112/min and BP 92/60 mmHg. The groin looks normal. What should the nurse suspect?
- AAn allergic reaction to the contrast
- BA urinary tract infection
- CRetroperitoneal bleeding
- DNormal back ache from lying flat
8.むずかしい
A patient receiving weeks of IV antibiotics through a PICC line in the left arm develops swelling and aching of that arm and neck veins that look fuller on the left. What should the nurse suspect?
- AAn expected effect of the antibiotic
- BLymphoedema from lying in bed
- CA catheter-related deep vein thrombosis
- DA local skin allergy to the dressing
解答
- 1. B · 60–100 beats per minute
- 2. A · 口腔カンジダ症と声のかすれを減らすため
- 3. C · A pulsating mass around the umbilicus
- 4. A · Lying prone for periods and avoiding pillows under the stump
- 5. B · An angiotensin II receptor blocker such as losartan
- 6. C · Sit down for tasks such as washing and dressing, and pace activities
- 7. C · Retroperitoneal bleeding
- 8. C · A catheter-related deep vein thrombosis
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