1.やさしい
What is the usual SpO₂ of a healthy adult at rest breathing room air?
- AAbout 95–100%
- BAbout 80–85%
- CAbout 60–65%
- DAbout 70–75%
2.やさしい
Which side effect of ethambutol should patients report straight away?
- ABlurred vision or changes in colour vision
- BNumbness and tingling of the feet and hands
- CA painful, red and swollen big toe joint
- DOrange-red colouring of the urine and tears
3.やさしい
What is the role of cilia in the airways?
- AThey exchange oxygen and carbon dioxide with the blood
- BThey move mucus and trapped particles up towards the throat
- CThey contract to narrow the airways and keep out particles of dust
- DThey make surfactant to keep the small alveoli open
4.ふつう
How does intermittent pneumatic compression help prevent DVT?
- AIt breaks up and dissolves clots that have already formed in the veins
- BIt warms the legs gently so the blood becomes thinner and flows faster
- CIt keeps the legs completely still to protect the veins
- DIt squeezes the legs in cycles to push venous blood towards the heart
5.ふつう
アピキサバンやリバーロキサバンなどの直接作用型経口抗凝固薬(DOAC)について正しい記述はどれですか?
- Aワルファリンと同様に、毎週のINR検査が必要である
- BビタミンKを投与すると作用が打ち消される
- C定期的なINR検査は不要だが、用量は腎機能に依存する
- D数週間作用するため、飲み忘れても問題ない
6.ふつう
上室性頻拍の患者に、アデノシンの静注を行う予定です。看護師は何について説明しておくべきですか?
- A約1週間続く腕の静脈に沿った焼けるような痛み
- Bその後の数時間にわたる眠気、呂律の回らなさ、錯乱
- Cその後、数日間続く頭痛
- D一時的な顔面紅潮や胸部の締めつけ感と、数秒間の心停止
7.むずかしい
A nurse is reviewing four telemetry patients. Which rhythm needs attention first?
- ARepeated runs of ventricular tachycardia in a patient who feels dizzy
- BFirst-degree heart block with a stable blood pressure and no symptoms
- CRate-controlled atrial fibrillation at 82/min
- DSinus bradycardia of 54/min in a patient who is asleep and comfortable
8.むずかしい
A frightened young woman is breathing fast and has tingling fingers. Her blood gas shows pH 7.50 and a low PaCO₂. SpO₂ is 99% on air. What does this show?
- ARespiratory acidosis from hypoventilation
- BMetabolic alkalosis from vomiting
- CMetabolic acidosis from kidney failure
- DRespiratory alkalosis from hyperventilation
解答
- 1. A · About 95–100%
- 2. A · Blurred vision or changes in colour vision
- 3. B · They move mucus and trapped particles up towards the throat
- 4. D · It squeezes the legs in cycles to push venous blood towards the heart
- 5. C · 定期的なINR検査は不要だが、用量は腎機能に依存する
- 6. D · 一時的な顔面紅潮や胸部の締めつけ感と、数秒間の心停止
- 7. A · Repeated runs of ventricular tachycardia in a patient who feels dizzy
- 8. D · Respiratory alkalosis from hyperventilation
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