1.やさしい
What is the main function of the epiglottis?
- AIt divides the trachea into two bronchi
- BIt covers the entrance to the larynx during swallowing
- CIt vibrates to produce the sound of the voice when speaking
- DIt warms and moistens the air on its way into the lungs
2.やさしい
Alpha-1 antitrypsin deficiency is an inherited cause of which lung disease?
- AAsthma
- BPneumothorax
- CLung cancer
- DEmphysema
3.やさしい
Which electrolyte do ACE inhibitors commonly raise?
- APotassium
- BSodium
- CCalcium
- DMagnesium
4.ふつう
After an arterial blood gas sample is taken from the radial artery, what should the nurse do?
- AApply firm pressure to the site for several minutes
- BBend the wrist sharply upwards to stop the bleeding
- CLeave the site uncovered without pressure
- DMassage the site to help the bruising fade
5.ふつう
A patient is going home with a 24-hour Holter monitor. Which instruction is most important?
- AStay in bed for the full 24 hours so the trace is clear
- BKeep a diary of symptoms and activities with the times
- CShower as normal with the monitor on
- DRemove the monitor whenever symptoms occur and restart it
6.ふつう
Why is active tuberculosis treated with several drugs for at least six months?
- ATo kill slow-growing bacteria and prevent drug resistance
- BBecause the bacteria are resistant to all drugs at first
- CTo reduce the number of side effects compared with one drug
- DBecause each drug works on a different organ only
7.むずかしい
A nurse teaches a patient with heart failure who takes ramipril and spironolactone. Which statement shows a need for further teaching?
- A"I will avoid ibuprofen for my joint pain."
- B"I will weigh myself every morning after I go to the toilet."
- C"I will call if I gain weight quickly or get more breathless."
- D"I will use a salt substitute instead of ordinary salt."
8.むずかしい
A patient declines enoxaparin for VTE prevention because it is made from pork, which conflicts with their beliefs. What is the best response?
- ATell the patient that refusal means they cannot have surgery
- BDocument the refusal in the notes and take no further action at all
- CGive the injection anyway without explaining what the medicine is made from
- DRespect the decision, inform the prescriber and discuss non-animal options
解答
- 1. B · It covers the entrance to the larynx during swallowing
- 2. D · Emphysema
- 3. A · Potassium
- 4. A · Apply firm pressure to the site for several minutes
- 5. B · Keep a diary of symptoms and activities with the times
- 6. A · To kill slow-growing bacteria and prevent drug resistance
- 7. D · "I will use a salt substitute instead of ordinary salt."
- 8. D · Respect the decision, inform the prescriber and discuss non-animal options
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