1.やさしい
What does central cyanosis of the lips and tongue indicate?
- AA high haemoglobin level only
- BLow oxygen saturation of the arterial blood
- CNormal findings in older adults
- DCold hands caused by the room, with normal oxygen levels
2.やさしい
On spirometry, what is the forced vital capacity (FVC)?
- AThe total volume blown out forcefully after a full breath in
- BThe volume of air blown out in the first second of the test only
- CThe volume of air that is left in the lungs after breathing out
- DThe volume of one normal resting breath
3.やさしい
看護師は、心房細動における脈拍欠損をどのように確認しますか?
- A1人で左右の頸動脈を同時に触れる
- B1人で橈骨動脈の脈拍を15秒数えて4倍する
- C2人で心尖拍動と橈骨動脈の脈拍を同時に1分間数える
- Dパルスオキシメーターの表示から心拍数を読む
4.ふつう
During an episode of chest pain, a patient's ECG shows new horizontal ST depression. What does this most likely indicate?
- APericarditis
- BA normal finding during pain
- CMyocardial ischaemia
- DHyperkalaemia
5.ふつう
How should a patient breathe in when using a pressurised metered-dose inhaler without a spacer?
- ASlowly and deeply while pressing the canister, then hold the breath
- BAs hard and fast as possible, then press the canister afterwards
- CNormally, while breathing out through the mouthpiece
- DIn short gasps through the nose while pressing the canister
6.ふつう
Why is a higher level of HDL cholesterol considered protective?
- AHDL thins the blood in the same way as an anticoagulant
- BHDL lowers the blood pressure directly
- CHDL is converted into vitamin D in the walls of the arteries
- DHDL carries cholesterol from the tissues back to the liver
7.むずかしい
A patient with a stab wound to the chest has a hole that sucks air with each breath. What is the immediate management?
- APack the wound tightly with gauze pushed deep into the chest
- BLeave it open and give a nebuliser
- CCover it with a vented chest seal or a dressing taped on three sides
- DSeal it completely with tape on all four sides and leave it alone
8.むずかしい
A patient with end-stage COPD has severe breathlessness at rest despite optimal treatment and wants comfort-focused care. Which measure is recognised to help?
- AA low-dose opioid with a hand-held fan and calm positioning
- BEncouraging long walks to build fitness
- CStopping all medicines, including inhalers
- DHigh-flow oxygen at 15 L/min whatever the oxygen saturation is
解答
- 1. B · Low oxygen saturation of the arterial blood
- 2. A · The total volume blown out forcefully after a full breath in
- 3. C · 2人で心尖拍動と橈骨動脈の脈拍を同時に1分間数える
- 4. C · Myocardial ischaemia
- 5. A · Slowly and deeply while pressing the canister, then hold the breath
- 6. D · HDL carries cholesterol from the tissues back to the liver
- 7. C · Cover it with a vented chest seal or a dressing taped on three sides
- 8. A · A low-dose opioid with a hand-held fan and calm positioning
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