1.やさしい
What defines type 2 respiratory failure?
- ALow PaO₂ with a raised PaCO₂
- BLow PaO₂ with a normal or low PaCO₂
- CNormal PaO₂ with a low PaCO₂
- DHigh PaO₂ with a high bicarbonate
2.やさしい
心不全の患者の体重は、毎日いつ測るのが最もよいですか?
- A毎晩、主な食事の後、同じ日中の服装で
- B週に1回、その日に空いている病棟の体重計で
- C毎朝、排尿後、朝食前に、同じ体重計で
- D息苦しさが増したと患者が訴えたときはいつでも
3.やさしい
Drug names ending in "-olol", such as bisoprolol and atenolol, belong to which class?
- ACalcium channel blockers
- BACE inhibitors
- CBeta-blockers
- DLoop diuretics
4.ふつう
Which patient is most typical of a primary spontaneous pneumothorax?
- AA middle-aged woman with high blood pressure
- BA tall, thin young man who smokes
- CA child with a viral sore throat
- DAn older woman with long-standing heart failure
5.ふつう
What is the purpose of cardiac resynchronisation therapy (a biventricular pacemaker)?
- ATo replace a damaged heart valve
- BTo slow the atrial rate in patients with atrial fibrillation
- CTo make both ventricles contract together and more efficiently
- DTo deliver a shock whenever the heart rate exceeds 100/min
6.ふつう
Why must inspired air be humidified for a patient with a tracheostomy?
- AHumidification prevents the cuff from deflating
- BDry air is needed to stop secretions forming in the trachea
- CThe nose and upper airway, which warm and moisten air, are bypassed
- DHumidified air contains more oxygen than dry air at the same flow
7.むずかしい
A patient on three blood pressure drugs still has high readings at every visit. What should the nurse check first?
- AWhether a fourth drug can be added at today's appointment
- BWhether the patient needs surgery on the renal arteries
- CWhether the readings should be ignored
- DWhether the patient is taking the medicines as prescribed
8.むずかしい
A nurse has four cardiac patients. Which one should be seen first?
- AA patient with heart failure whose weight is 0.3 kg up on yesterday's morning weight
- BA patient with angina whose chest pain has not eased with rest and who is sweating
- CA patient after a radial angiogram asking when they can eat
- DA patient with AF and a heart rate of 86/min who is due an apixaban dose this morning
解答
- 1. A · Low PaO₂ with a raised PaCO₂
- 2. C · 毎朝、排尿後、朝食前に、同じ体重計で
- 3. C · Beta-blockers
- 4. B · A tall, thin young man who smokes
- 5. C · To make both ventricles contract together and more efficiently
- 6. C · The nose and upper airway, which warm and moisten air, are bypassed
- 7. D · Whether the patient is taking the medicines as prescribed
- 8. B · A patient with angina whose chest pain has not eased with rest and who is sweating
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