解答つき内科外科看護：循環器と呼吸器ワークシート

Which chamber of the heart pumps blood into the aorta?

1. AThe right ventricle
2. BThe left atrium
3. CThe right atrium
4. DThe left ventricle

When is pneumonia classed as hospital-acquired?

1. AOnly when it is caused by a virus
2. BWhen it starts 48 hours or more after admission
3. CWhen the patient had symptoms before admission
4. DWhen it starts within the first hour after admission

What is the normal range for arterial PaCO₂?

1. AAbout 8.0–9.0 kPa (60–68 mmHg)
2. BAbout 10–13 kPa (75–100 mmHg)
3. CAbout 4.7–6.0 kPa (35–45 mmHg)
4. DAbout 1.0–2.0 kPa (8–15 mmHg)

Septic shock belongs to which category of shock?

1. AHypovolaemic shock
2. BDistributive shock
3. CCardiogenic shock
4. DObstructive shock

A patient has pneumonia in the right lung only. In which side-lying position will oxygenation usually be best?

1. ALying on the left side, with the healthy lung down
2. BLying on the right side, with the affected lung down
3. CFlat on the back with no pillows
4. DProne with the head down

After a prescribed IV fluid bolus for hypotension, what should the nurse do next?

1. AStop all monitoring if the patient says they feel better
2. BStart a second fluid bolus straight away without checking anything
3. CReassess heart rate, blood pressure, urine output and lung sounds
4. DWait until the next routine observations in four hours

The monitor of a patient with a permanent pacemaker shows pacing spikes, but none of them is followed by a QRS complex. What does this mean?

1. ANormal pacemaker function
2. BAtrial fibrillation
3. CFailure to sense
4. DFailure to capture

大腿動脈経由のPCIの4時間後、鼠径部のドレッシングが血液でぐっしょり濡れ、硬い腫れが大きくなっています。直ちに行うべきことは何ですか？

1. A穿刺部位のすぐ上を強く圧迫し、応援を呼ぶ
2. B部位に血栓ができないよう、ヘパリンの注入速度を上げる
3. Cドレッシングを外し、創部を空気にさらしておく
4. D患者を起こして、排尿のためにトイレまで歩かせる