1.やさしい
What does a "reliever" inhaler do in asthma?
- AIt relaxes the airway muscles quickly to ease symptoms
- BIt reduces the airway inflammation steadily over several weeks
- CIt kills bacteria in the airways
- DIt thins the mucus over several days
2.やさしい
Finger clubbing is commonly linked with which condition?
- ABronchiectasis
- BMild asthma
- CAcute bronchitis
- DHigh blood pressure
3.やさしい
狭心症に対するニトログリセリンのスプレーまたは錠剤は、どのように投与しますか?
- A患者を背筋を伸ばして立たせて、舌下に
- B食後にかんで飲み込む
- Cコップ1杯の水とともに丸ごと飲み込む
- D患者を座らせて、舌下に
4.ふつう
How is orthostatic (postural) hypotension usually assessed?
- ABP in both arms at the same moment while sitting
- BBP lying after rest, then again after 1 and 3 minutes standing
- CBP once sitting, then once lying down straight after a large meal
- DBP only standing, after a brisk walk along the corridor
5.ふつう
A peripheral cannula site is red, warm, tender and swollen along the vein. What should the nurse do?
- ACover the site and keep using it until it blocks
- BLeave it in place, as this is normal after 24 hours
- CRemove the cannula, document and monitor the site
- DFlush the cannula hard to clear it
6.ふつう
Which emergency equipment should be kept at the bedside of a patient with a tracheostomy?
- ASpare tubes (same size and one smaller), suction and oxygen
- BA urinary catheter set, a blood glucose meter and a thermometer
- COnly a spare oxygen mask, since the tube rarely causes problems
- DA nasogastric tube and a feeding pump
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?
- ATransfusion-associated circulatory overload
- BNormal effects of the transfusion
- CAn acute haemolytic reaction from wrong blood
- DA mild febrile reaction
8.むずかしい
A patient with lung cancer develops swelling of the face and arms, distended neck and chest veins and breathlessness that is worse when bending forward. What is the most likely cause?
- AA deep vein thrombosis in the leg
- BRight-sided heart failure
- CAn allergic reaction to chemotherapy
- DSuperior vena cava obstruction
解答
- 1. A · It relaxes the airway muscles quickly to ease symptoms
- 2. A · Bronchiectasis
- 3. D · 患者を座らせて、舌下に
- 4. B · BP lying after rest, then again after 1 and 3 minutes standing
- 5. C · Remove the cannula, document and monitor the site
- 6. A · Spare tubes (same size and one smaller), suction and oxygen
- 7. A · Transfusion-associated circulatory overload
- 8. D · Superior vena cava obstruction
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