1.やさしい
What happens to the lungs in emphysema?
- AThe pleural space slowly fills with fluid that compresses the lung
- BThe airways narrow briefly and fully recover
- CAlveolar walls are destroyed, reducing the surface for gas exchange
- DThe bronchi become permanently widened and repeatedly infected
2.やさしい
How is cystic fibrosis inherited?
- AX-linked recessive
- BAutosomal dominant
- CAutosomal recessive
- DIt is not inherited
3.やさしい
狭心症に対するニトログリセリンのスプレーまたは錠剤は、どのように投与しますか?
- A患者を背筋を伸ばして立たせて、舌下に
- B患者を座らせて、舌下に
- Cコップ1杯の水とともに丸ごと飲み込む
- D食後にかんで飲み込む
4.ふつう
When should an adult with cystic fibrosis take pancreatic enzyme capsules?
- AOnly when they have diarrhoea
- BOnce a day on waking, at least an hour before any food
- CWith all meals and snacks that contain fat
- DOnly at bedtime
5.ふつう
Which ECG change is classically linked with hyperkalaemia?
- AA sawtooth baseline
- BTall, peaked T waves
- CProminent U waves
- DDelta waves before the QRS
6.ふつう
A patient has episodes of severe headache, sweating and palpitations with very high blood pressure. Which rare cause should be considered?
- AStable angina
- BAortic stenosis
- CPhaeochromocytoma
- DAsthma
7.むずかしい
心不全の患者の体重が3日間で2.5 kg増え、両側の肺底部に新たなラ音があり、今は枕4つで眠っています。血圧138/84 mmHg、室内気でSpO₂ 93%です。優先すべきことは何ですか?
- A腎臓を守るため、経口の水分を余分に摂るよう勧める
- B患者を座位にし、十分にアセスメントして、体液過剰を報告する
- C体重を記録し、来週末にもう一度確認する
- D心臓を休ませて負担を減らすため、患者を仰向けに寝かせる
8.むずかしい
During tracheal suctioning, a patient's heart rate drops from 88/min to 48/min. What should the nurse do?
- AGive a dose of atropine without a prescription
- BStop suctioning, give oxygen and monitor the patient
- CIncrease the suction pressure to finish faster
- DContinue suctioning until the airway is completely clear
解答
- 1. C · Alveolar walls are destroyed, reducing the surface for gas exchange
- 2. C · Autosomal recessive
- 3. B · 患者を座らせて、舌下に
- 4. C · With all meals and snacks that contain fat
- 5. B · Tall, peaked T waves
- 6. C · Phaeochromocytoma
- 7. B · 患者を座位にし、十分にアセスメントして、体液過剰を報告する
- 8. B · Stop suctioning, give oxygen and monitor the patient
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。