1.やさしい
Which vaccine is used to protect against tuberculosis?
- ADTaP
- BHPV
- CMMR
- DBCG
2.やさしい
What happens to the lungs in emphysema?
- AAlveolar walls are destroyed, reducing the surface for gas exchange
- BThe bronchi become permanently widened and repeatedly infected
- CThe pleural space slowly fills with fluid that compresses the lung
- DThe airways narrow briefly and fully recover
3.やさしい
What should patients starting rifampicin (rifampin) be told about their urine, sweat and tears?
- AThey may turn orange-red, which is harmless
- BThey will become completely colourless
- CThey may turn black, which means bleeding
- DThey may turn green, which means infection
4.ふつう
患者のB型ナトリウム利尿ペプチド(BNPまたはNT-proBNP)が上昇しています。これは主に何を反映していますか?
- A転倒後の骨格筋の損傷
- B心筋の虚血性障害
- C心室の伸展と圧負荷
- Dうっ血による肝臓の炎症
5.ふつう
喘息の患者が、発作時用の吸入器を週に3回より多く使っています。これは何を示唆しますか?
- A予防吸入薬はもう必要ない
- B喘息のコントロールが不良で、治療の見直しが必要である
- C発作時用の薬がもう効かないので、中止すべきである
- D現在の計画で喘息はよくコントロールされている
6.ふつう
Which advice is most helpful for a patient with Raynaud's phenomenon?
- ARub the fingers hard with snow during an attack
- BSoak the hands in cold water to toughen the vessels
- CKeep the whole body warm, wear gloves and stop smoking
- DTake a decongestant tablet before going outdoors
7.むずかしい
1日1.5 Lの水分制限を受けている心不全の患者が、強い口渇を訴えています。最も適切な対応はどれですか?
- A渇きは常に満たすべきなので、水を無制限に
- B口腔ケア、数を数えた氷片、1日を通して分けた水分
- C唾液を促して乾燥を和らげるための、塩気のある軽食
- D翌朝の体重測定まで、一切の水分を与えない
8.むずかしい
A ventilated patient suddenly desaturates to 82%. The cause is not obvious and the ventilator alarms are sounding. What should the nurse do first?
- ASilence the alarm and wait for the result of the next routine blood gas
- BChange the ventilator settings to a higher rate
- CDisconnect and hand-ventilate with 100% oxygen while calling for help
- DIncrease the sedation and watch the monitor for the next half hour
解答
- 1. D · BCG
- 2. A · Alveolar walls are destroyed, reducing the surface for gas exchange
- 3. A · They may turn orange-red, which is harmless
- 4. C · 心室の伸展と圧負荷
- 5. B · 喘息のコントロールが不良で、治療の見直しが必要である
- 6. C · Keep the whole body warm, wear gloves and stop smoking
- 7. B · 口腔ケア、数を数えた氷片、1日を通して分けた水分
- 8. C · Disconnect and hand-ventilate with 100% oxygen while calling for help
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。