1.やさしい
What is the approximate tidal volume of a resting adult?
- AAbout 1.5 litres
- BAbout 500 mL
- CAbout 5 litres
- DAbout 50 mL
2.やさしい
What does the term "afterload" describe?
- AThe stretch of the ventricle before it contracts
- BThe volume of blood returning to the right atrium each minute
- CThe resistance the ventricle must overcome to eject blood
- DThe time the heart takes to relax after each beat
3.やさしい
In a tension pneumothorax, which way does the trachea usually shift?
- ATowards the affected side
- BIt never moves in a pneumothorax
- CUpwards towards the chin
- DAway from the affected side
4.ふつう
定量噴霧式吸入器用のスペーサーについて正しい記述はどれですか?
- Aステロイドの予防吸入薬を完全にやめられるようになる
- Bドライパウダー吸入器と一緒に使うよう設計されている
- C1回の噴霧ごとの薬を通常より強くする
- D必要な同調が少なくてすみ、より多くの薬が肺に届く
5.ふつう
A patient has episodes of severe headache, sweating and palpitations with very high blood pressure. Which rare cause should be considered?
- APhaeochromocytoma
- BStable angina
- CAortic stenosis
- DAsthma
6.ふつう
重症のCOPD患者が、少量ずつ頻回に食べるよう勧められるのはなぜですか?
- A頻回の食事は胸部感染症を直接予防するから
- B少量の食事は吸入器が必要な回数を減らすから
- C胃が満たされると横隔膜が制限され、食べること自体が疲れるから
- D大量の食事で気道が恒久的に狭くなるから
7.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?
- AIncrease the sedation and watch the monitor for the next half hour
- BSilence the alarm and wait for the result of the next routine blood gas
- CDisconnect and hand-ventilate with 100% oxygen while calling for help
- DChange the ventilator settings to a higher rate
8.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 use a salt substitute instead of ordinary salt."
- B"I will call if I gain weight quickly or get more breathless."
- C"I will avoid ibuprofen for my joint pain."
- D"I will weigh myself every morning after I go to the toilet."
解答
- 1. B · About 500 mL
- 2. C · The resistance the ventricle must overcome to eject blood
- 3. D · Away from the affected side
- 4. D · 必要な同調が少なくてすみ、より多くの薬が肺に届く
- 5. A · Phaeochromocytoma
- 6. C · 胃が満たされると横隔膜が制限され、食べること自体が疲れるから
- 7. C · Disconnect and hand-ventilate with 100% oxygen while calling for help
- 8. A · "I will use a salt substitute instead of ordinary salt."
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