1.やさしい
Which side effects are common after inhaled salbutamol (albuterol)?
- AWeight gain and ankle swelling
- BFine tremor and a fast heart rate
- CDrowsiness and a slow heart rate
- DConstipation and dry eyes
2.やさしい
Which three symptoms are classic in severe aortic stenosis?
- AWheeze, cough and clear sputum
- BExertional chest pain, fainting and breathlessness
- CCalf pain, leg swelling and redness of one leg
- DFever, painful swollen joints and a spreading skin rash
3.やさしい
What happens to the lungs in emphysema?
- AThe bronchi become permanently widened and repeatedly infected
- BAlveolar walls are destroyed, reducing the surface for gas exchange
- CThe pleural space slowly fills with fluid that compresses the lung
- DThe airways narrow briefly and fully recover
4.ふつう
胸腔ドレーンのチューブを一般にクランプしてはいけないのはなぜですか?
- Aクランプすると水封の水が蒸発するから
- B閉じ込められた空気が増えて、緊張性気胸を起こしうるから
- Cクランプするとチューブが恒久的に弱って割れるから
- Dクランプすると胸腔から液体が速く排出されすぎるから
5.ふつう
A patient with chest pain has a first troponin result within the normal range one hour after the pain started. Why is a repeat test arranged?
- ATroponin may take a few hours to rise after muscle damage
- BThe repeat test is only needed for patients over 80
- CThe first sample is always contaminated
- DTroponin falls during an MI, so a lower value confirms it
6.ふつう
インダパミドなど、チアジド系またはチアジド類似の利尿薬に典型的な副作用の組み合わせはどれですか?
- Aカリウムとナトリウムの上昇、尿酸の低下、血糖の低下
- Bカリウムとナトリウムの低下、尿酸の上昇、血糖の上昇
- Cナトリウムとマグネシウムの上昇、血糖の低下
- D乾性咳嗽、味覚障害、唇の腫れ
7.むずかしい
An 84-year-old with heart failure becomes breathless with new crackles and a rising blood pressure during a blood transfusion. What should the nurse suspect?
- AA mild febrile reaction
- BTransfusion-associated circulatory overload
- CAn acute haemolytic reaction from wrong blood
- DNormal effects of the transfusion
8.むずかしい
A patient has been on continuous NIV via a full-face mask for two days. Which nursing measure helps prevent the most common complication?
- ACheck mask fit and protect the bridge of the nose
- BUse the same mask size for every patient
- CRemove the mask for an hour each time the alarm sounds
- DTighten the straps as far as they will go to stop any leak
解答
- 1. B · Fine tremor and a fast heart rate
- 2. B · Exertional chest pain, fainting and breathlessness
- 3. B · Alveolar walls are destroyed, reducing the surface for gas exchange
- 4. B · 閉じ込められた空気が増えて、緊張性気胸を起こしうるから
- 5. A · Troponin may take a few hours to rise after muscle damage
- 6. B · カリウムとナトリウムの低下、尿酸の上昇、血糖の上昇
- 7. B · Transfusion-associated circulatory overload
- 8. A · Check mask fit and protect the bridge of the nose
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