1.やさしい
Rust-coloured sputum is classically linked with which infection?
- APneumococcal pneumonia
- BOral thrush
- CA viral common cold
- DAllergic rhinitis
2.やさしい
Which of these is one of the reversible causes of cardiac arrest known as the "4 Hs"?
- AHypoxia
- BHypertension
- CHyperventilation
- DHyperglycaemia
3.やさしい
Which muscle does most of the work of quiet breathing?
- AThe abdominal muscles
- BThe sternocleidomastoid
- CThe diaphragm
- DThe trapezius
4.ふつう
A patient has chest pain at rest in the early morning with brief ST elevation that resolves. Coronary arteries are later found to be clear. Which condition is most likely?
- AStable exertional angina from a fixed plaque
- BVasospastic (Prinzmetal) angina
- CAcute pericarditis
- DAortic stenosis
5.ふつう
Suspected pulmonary TB is being investigated. How are sputum samples usually collected?
- AA single sample after the first week of treatment
- BA swab from the nose only
- COne sample of saliva collected at any time of the day
- DSeveral samples, ideally including early-morning sputum
6.ふつう
A patient with COPD uses an inhaled corticosteroid combination inhaler. Which risk should the nurse be aware of?
- AA sharp drop in potassium after each dose
- BAn increased risk of pneumonia
- CHearing loss after every dose
- DAn increased risk of high blood pressure crises
7.むずかしい
患者の胸腔ドレーンが、誤って引き抜かれました。直ちにすべきことは何ですか?
- Aドレーンを胸部に押し戻し、テープで固定する
- B肺を広げるため、患者に強く咳をするよう頼む
- C滅菌の閉鎖性ドレッシングで部位を密閉し、応援を呼ぶ
- D閉じ込められた空気が逃げるよう、穴を覆わないでおく
8.むずかしい
A one-way speaking valve is fitted to a patient's tracheostomy tube while the cuff is still inflated. What is the danger?
- AThe valve will humidify the air too much
- BThe patient will speak too loudly
- CThere is no danger, as the valve works with any cuff
- DThe patient cannot breathe out and may suffocate
解答
- 1. A · Pneumococcal pneumonia
- 2. A · Hypoxia
- 3. C · The diaphragm
- 4. B · Vasospastic (Prinzmetal) angina
- 5. D · Several samples, ideally including early-morning sputum
- 6. B · An increased risk of pneumonia
- 7. C · 滅菌の閉鎖性ドレッシングで部位を密閉し、応援を呼ぶ
- 8. D · The patient cannot breathe out and may suffocate
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