1.やさしい
What is the normal range for arterial PaCO₂?
- AAbout 10–13 kPa (75–100 mmHg)
- BAbout 8.0–9.0 kPa (60–68 mmHg)
- CAbout 4.7–6.0 kPa (35–45 mmHg)
- DAbout 1.0–2.0 kPa (8–15 mmHg)
2.やさしい
Which cardiac arrest rhythms are shockable?
- AAtrial fibrillation and atrial flutter
- BVentricular fibrillation and pulseless ventricular tachycardia
- CAsystole and pulseless electrical activity with a slow rate
- DSinus rhythm and sinus tachycardia with a normal pulse
3.やさしい
What is cor pulmonale?
- AInflammation of the lining around the heart
- BInfection of the heart valves
- CRight-sided heart failure caused by lung disease
- DLeft-sided heart failure caused by a heart attack
4.ふつう
A patient taking simvastatin drinks a large glass of grapefruit juice every morning. Why is this a concern?
- AIt causes the cholesterol level to rise sharply
- BIt turns the statin into a blood thinner
- CIt stops the statin from being absorbed from the gut at all
- DIt raises statin levels and the risk of muscle damage
5.ふつう
単純なフェイスマスクで、酸素流量を約5 L/分より低くしてはいけないのはなぜですか?
- A低流量では酸素を加湿できないから
- B呼気中のCO₂がマスク内にたまり、再呼吸されるから
- C低流量では伸縮性のストラップがゆるくなりすぎるから
- D低流量ではマスクが酸素を送りすぎるから
6.ふつう
A patient on theophylline develops nausea, vomiting, a fast heart rate and restlessness. What should the nurse suspect?
- AA theophylline allergy causing a rash
- BAn expected sign that the drug is working
- CHypoglycaemia caused by the drug
- DTheophylline toxicity
7.むずかしい
An adult inhales a peanut while laughing and now has a persistent cough and wheeze on one side. Where is the peanut most likely to have lodged?
- AThe nasal cavity
- BThe oesophagus
- CThe left main bronchus
- DThe right main bronchus
8.むずかしい
Two days after a coronary stent, a patient on aspirin and ticagrelor has black, tarry stools and feels faint on standing. What should the nurse do?
- AGive a laxative and repeat the observations tomorrow
- BCheck vital signs, report urgently and anticipate a blood count
- CStop both antiplatelet drugs permanently on the nurse's own decision
- DReassure the patient that iron tablets cause black stools
解答
- 1. C · About 4.7–6.0 kPa (35–45 mmHg)
- 2. B · Ventricular fibrillation and pulseless ventricular tachycardia
- 3. C · Right-sided heart failure caused by lung disease
- 4. D · It raises statin levels and the risk of muscle damage
- 5. B · 呼気中のCO₂がマスク内にたまり、再呼吸されるから
- 6. D · Theophylline toxicity
- 7. D · The right main bronchus
- 8. B · Check vital signs, report urgently and anticipate a blood count
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