1.やさしい
Which colour change is typical of Raynaud's phenomenon?
- AThe whole arm turns pale and then black
- BFingers turn yellow, then green, then brown
- CFingers turn white, then blue, then red
- DFingers stay red and hot for several days
2.やさしい
What does the term "apnoea" mean?
- AA pause or stop in breathing
- BA breathing rate above normal
- CCoughing up blood
- DBreathlessness on lying flat
3.やさしい
What is the pulse pressure?
- AThe average arterial pressure over one whole cardiac cycle
- BThe number of pulse beats counted in one minute
- CThe pressure measured in the right atrium at rest
- DThe difference between the systolic and diastolic pressures
4.ふつう
A patient with heart failure starts dapagliflozin, an SGLT2 inhibitor. Which teaching is most relevant?
- AKeep the genital area clean, as fungal infections are more common
- BTake an extra dose if the ankles swell
- CExpect the urine to turn bright orange and stain underwear and clothes
- DAvoid drinking any fluids at all for the first week of treatment
5.ふつう
Which advice is most helpful for a patient with Raynaud's phenomenon?
- AKeep the whole body warm, wear gloves and stop smoking
- BSoak the hands in cold water to toughen the vessels
- CTake a decongestant tablet before going outdoors
- DRub the fingers hard with snow during an attack
6.ふつう
How is a patient usually positioned for a thoracentesis?
- ASitting upright and leaning forward over a table
- BProne with the arms by the sides
- CFlat on the back with the legs raised
- DLying on the affected side with the head down
7.むずかしい
A patient on a morphine PCA after surgery is very drowsy, with a respiratory rate of 7/min and pinpoint pupils. SpO₂ is 89%. What should the nurse do first?
- AGive a sedative to keep the patient comfortable
- BStop the PCA, support breathing, give oxygen and get naloxone
- CLeave the patient to sleep and recheck the observations in an hour
- DEncourage the patient to keep pressing the PCA button for comfort
8.むずかしい
On a ventilated patient, the end-tidal CO₂ waveform suddenly drops to zero. What should the nurse suspect first?
- ATube displacement, disconnection or obstruction
- BA rise in the patient's body temperature over the last hour
- CA sudden improvement in the patient's lung function
- DNormal variation that needs no action
解答
- 1. C · Fingers turn white, then blue, then red
- 2. A · A pause or stop in breathing
- 3. D · The difference between the systolic and diastolic pressures
- 4. A · Keep the genital area clean, as fungal infections are more common
- 5. A · Keep the whole body warm, wear gloves and stop smoking
- 6. A · Sitting upright and leaning forward over a table
- 7. B · Stop the PCA, support breathing, give oxygen and get naloxone
- 8. A · Tube displacement, disconnection or obstruction
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。