1.やさしい
In an adult over 40, an added third heart sound (S3) most often suggests which problem?
- AA normal finding of good fitness
- BA narrowed aortic valve
- CInflammation of the pericardium
- DHeart failure with fluid overload
2.やさしい
How should glyceryl trinitrate (nitroglycerin) sublingual tablets be stored?
- AIn the fridge, mixed in one bottle with their other tablets
- BLoose in a pocket or a plastic pill box for easy access
- CIn their original container, away from heat and light
- DIn direct sunlight on the windowsill
3.やさしい
What does an SpO₂ reading measure?
- AThe amount of carbon dioxide dissolved in the blood
- BThe percentage of haemoglobin carrying oxygen
- CThe oxygen level in the brain
- DThe total haemoglobin level
4.ふつう
A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?
- AClass IV
- BClass I
- CClass II
- DClass III
5.ふつう
How big should a suction catheter be compared with the tracheostomy or endotracheal tube?
- AAny size, as the diameter does not matter
- BNo more than half the internal diameter of the tube
- CExactly the same diameter as the tube, for a tight fit
- DLarger than the tube, so that it clears it completely
6.ふつう
How does intermittent pneumatic compression help prevent DVT?
- AIt warms the legs gently so the blood becomes thinner and flows faster
- BIt keeps the legs completely still to protect the veins
- CIt squeezes the legs in cycles to push venous blood towards the heart
- DIt breaks up and dissolves clots that have already formed in the veins
7.むずかしい
Two days after coronary artery bypass surgery, a patient feels palpitations. The pulse is irregularly irregular at 140/min and BP is 112/70 mmHg. Which rhythm is most likely?
- AComplete heart block
- BAtrial fibrillation
- CSinus tachycardia
- DVentricular fibrillation
8.むずかしい
A nurse reviews inhaler use with a patient who has asthma and uses a separate steroid preventer inhaler and a salbutamol reliever. Which statement shows a need for further teaching?
- A"I rinse my mouth after the steroid inhaler."
- B"I use my steroid inhaler every day, even when I feel well."
- C"I carry my blue reliever inhaler with me."
- D"I use my steroid inhaler when I start to wheeze."
解答
- 1. D · Heart failure with fluid overload
- 2. C · In their original container, away from heat and light
- 3. B · The percentage of haemoglobin carrying oxygen
- 4. D · Class III
- 5. B · No more than half the internal diameter of the tube
- 6. C · It squeezes the legs in cycles to push venous blood towards the heart
- 7. B · Atrial fibrillation
- 8. D · "I use my steroid inhaler when I start to wheeze."
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