1.やさしい
What is the compression-to-ventilation ratio for adult CPR?
- A5 compressions to 1 breath
- B50 compressions to 5 breaths
- C15 compressions to 2 breaths
- D30 compressions to 2 breaths
2.やさしい
心房細動で心拍数を遅くするためによく使われる薬はどれですか?
- Aアトルバスタチン(スタチン)
- Bフロセミド(ループ利尿薬)
- Cビソプロロール(β遮断薬)
- Dアムロジピン(ジヒドロピリジン系カルシウム拮抗薬)
3.やさしい
肺炎が疑われるとき、培養用の喀痰検体は理想的にはいつ採取しますか?
- A抗菌薬治療の3日後
- B抗菌薬は培養に影響しないので、いつでも
- C1週間たっても改善しないときだけ
- D抗菌薬の初回投与の前に、投与を遅らせずに
4.ふつう
Before the first treatment dose of a low-molecular-weight heparin for a PE, what does the nurse need to make sure of?
- AA chest drain is in place
- BAn accurate, recent body weight is recorded
- CThe patient has fasted for 12 hours
- DThe patient's blood glucose is above 10 mmol/L (180 mg/dL)
5.ふつう
Which energy-conservation advice is most useful for a patient with severe COPD?
- ASit down for tasks such as washing and dressing, and pace activities
- BDo all the household tasks quickly in the morning to get them done
- CHold the breath while lifting heavy objects
- DAvoid any activity at all, staying in a chair to save their energy
6.ふつう
Why must anti-embolism stockings be measured and fitted correctly?
- ATight stockings work better, so the smallest size is always best
- BCorrect fit is needed only to improve the appearance
- CLoose stockings make the patient's legs too warm at night
- DPoorly fitting stockings can cause pressure damage
7.むずかしい
Twelve hours after a coronary stent, a patient has sudden severe chest pain again with new ST elevation in the same leads. What is the most likely cause?
- APericarditis from the catheter
- BAcute stent thrombosis
- CNormal pain from the procedure site
- DIndigestion from the hospital meal
8.むずかしい
A nurse is reviewing four telemetry patients. Which rhythm needs attention first?
- ASinus bradycardia of 54/min in a patient who is asleep and comfortable
- BRate-controlled atrial fibrillation at 82/min
- CRepeated runs of ventricular tachycardia in a patient who feels dizzy
- DFirst-degree heart block with a stable blood pressure and no symptoms
解答
- 1. D · 30 compressions to 2 breaths
- 2. C · ビソプロロール(β遮断薬)
- 3. D · 抗菌薬の初回投与の前に、投与を遅らせずに
- 4. B · An accurate, recent body weight is recorded
- 5. A · Sit down for tasks such as washing and dressing, and pace activities
- 6. D · Poorly fitting stockings can cause pressure damage
- 7. B · Acute stent thrombosis
- 8. C · Repeated runs of ventricular tachycardia in a patient who feels dizzy
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