1.やさしい
What is the normal range for arterial blood pH?
- A7.50–7.65
- B7.00–7.20
- C7.35–7.45
- D6.80–7.00
2.やさしい
Rust-coloured sputum is classically linked with which infection?
- AA viral common cold
- BPneumococcal pneumonia
- CAllergic rhinitis
- DOral thrush
3.やさしい
What is a thoracentesis?
- AMeasuring lung volumes by blowing into a tube
- BRemoving a lobe of the lung
- CInserting a flexible camera into the airways to look inside
- DRemoving fluid from the pleural space with a needle
4.ふつう
How big should a suction catheter be compared with the tracheostomy or endotracheal tube?
- AExactly the same diameter as the tube, for a tight fit
- BAny size, as the diameter does not matter
- CLarger than the tube, so that it clears it completely
- DNo more than half the internal diameter of the tube
5.ふつう
A patient with heart failure starts dapagliflozin, an SGLT2 inhibitor. Which teaching is most relevant?
- ATake an extra dose if the ankles swell
- BExpect the urine to turn bright orange and stain underwear and clothes
- CKeep the genital area clean, as fungal infections are more common
- DAvoid drinking any fluids at all for the first week of treatment
6.ふつう
How should a patient breathe in when using a dry powder inhaler?
- AQuickly and deeply, after breathing out away from the device
- BSlowly and gently over about ten seconds
- CSeveral times, breathing out into the device between breaths
- DThrough the nose with the mouthpiece in the mouth
7.むずかしい
Thirty minutes after extubation, a patient develops a high-pitched noise on breathing in and is anxious. SpO₂ is falling. What should the nurse do?
- ASit the patient up, give oxygen and call for urgent airway help
- BEncourage the patient to sleep it off and recheck them in an hour
- CLay the patient flat and reassure them
- DGive a large drink of cold water to soothe the throat and settle it
8.むずかしい
A nurse looked after a patient for a shift before smear-positive pulmonary TB was diagnosed, without wearing a respirator. What should happen?
- AReport it so occupational health can arrange follow-up screening
- BStart a full six-month course of TB drugs at once without any tests
- CTake no action, as healthcare workers are immune to TB
- DStay off work for six months in case symptoms develop
解答
- 1. C · 7.35–7.45
- 2. B · Pneumococcal pneumonia
- 3. D · Removing fluid from the pleural space with a needle
- 4. D · No more than half the internal diameter of the tube
- 5. C · Keep the genital area clean, as fungal infections are more common
- 6. A · Quickly and deeply, after breathing out away from the device
- 7. A · Sit the patient up, give oxygen and call for urgent airway help
- 8. A · Report it so occupational health can arrange follow-up screening
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