1.やさしい
Which chest X-ray finding is classic for sarcoidosis?
- AEnlarged lymph nodes at both lung hila
- BA visible edge of collapsed lung
- CA completely white lung on one side
- DA single round mass in one apex
2.やさしい
What does "myocardial infarction" mean?
- AInfection of the heart valves
- BInflammation of the membrane that surrounds the heart
- CTemporary chest pain with no muscle damage
- DDeath of heart muscle caused by a blocked blood supply
3.やさしい
What does an SpO₂ reading measure?
- AThe amount of carbon dioxide dissolved in the blood
- BThe oxygen level in the brain
- CThe total haemoglobin level
- DThe percentage of haemoglobin carrying oxygen
4.ふつう
After thrombolysis for a myocardial infarction, which complication is the nurse most concerned to detect?
- AA skin rash appearing at the sites of the ECG electrodes
- BBleeding, including a sudden change in neurological status
- CConstipation from bed rest
- DA high blood glucose caused by the thrombolytic drug itself
5.ふつう
A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?
- AClass IV
- BClass II
- CClass III
- DClass I
6.ふつう
Which side effect is particularly common with verapamil?
- AHair loss
- BDry cough
- CDiarrhoea
- DConstipation
7.むずかしい
A frightened young woman is breathing fast and has tingling fingers. Her blood gas shows pH 7.50 and a low PaCO₂. SpO₂ is 99% on air. What does this show?
- ARespiratory acidosis from hypoventilation
- BMetabolic alkalosis from vomiting
- CRespiratory alkalosis from hyperventilation
- DMetabolic acidosis from kidney failure
8.むずかしい
A patient with a valid, documented do-not-attempt-CPR decision (DNACPR in the UK, DNR or DNAR in the US) is found in cardiac arrest. What should the nurse do?
- ACall the arrest team and let them decide whether to resuscitate
- BStart full CPR because the patient's family is not present
- CStart CPR but use only chest compressions
- DNot start CPR, call for support, and provide dignity and comfort
解答
- 1. A · Enlarged lymph nodes at both lung hila
- 2. D · Death of heart muscle caused by a blocked blood supply
- 3. D · The percentage of haemoglobin carrying oxygen
- 4. B · Bleeding, including a sudden change in neurological status
- 5. C · Class III
- 6. D · Constipation
- 7. C · Respiratory alkalosis from hyperventilation
- 8. D · Not start CPR, call for support, and provide dignity and comfort
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