1.やさしい
When is pneumonia classed as hospital-acquired?
- AWhen it starts within the first hour after admission
- BWhen it starts 48 hours or more after admission
- CWhen the patient had symptoms before admission
- DOnly when it is caused by a virus
2.やさしい
What does stridor usually indicate?
- ANarrowing of the upper airway
- BNarrowing of the small airways
- CFluid in the alveoli
- DInflammation of the pleura
3.やさしい
ピークフローメーターは何を測定しますか?
- A肺が保持できる空気の総量
- B血液の酸素飽和度
- C1分間の呼吸回数
- D人が息を吹き出せる最も速い空気の流量
4.ふつう
When should an adult with cystic fibrosis take pancreatic enzyme capsules?
- AWith all meals and snacks that contain fat
- BOnly when they have diarrhoea
- COnly at bedtime
- DOnce a day on waking, at least an hour before any food
5.ふつう
How can a patient reduce wound pain when coughing after abdominal surgery?
- ALie flat on the back with the legs straight
- BHold the breath for as long as possible
- CHold a pillow firmly against the wound while coughing
- DAvoid coughing completely until all the stitches are removed
6.ふつう
Which investigation is most often used to confirm a pulmonary embolism?
- AAbdominal ultrasound
- BPeak flow measurement
- CSputum culture
- DCT pulmonary angiography
7.むずかしい
心不全の患者の体重が3日間で2.5 kg増え、両側の肺底部に新たなラ音があり、今は枕4つで眠っています。血圧138/84 mmHg、室内気でSpO₂ 93%です。優先すべきことは何ですか?
- A患者を座位にし、十分にアセスメントして、体液過剰を報告する
- B腎臓を守るため、経口の水分を余分に摂るよう勧める
- C体重を記録し、来週末にもう一度確認する
- D心臓を休ませて負担を減らすため、患者を仰向けに寝かせる
8.むずかしい
A conscious adult in the dining room is suddenly unable to speak, cough or breathe after a mouthful of food. What should the nurse do first?
- ALie them down on the floor and start chest compressions immediately
- BUp to five back blows, then up to five abdominal thrusts if needed
- CSweep blindly in the mouth with a finger
- DEncourage them to drink a glass of water to wash the food down
解答
- 1. B · When it starts 48 hours or more after admission
- 2. A · Narrowing of the upper airway
- 3. D · 人が息を吹き出せる最も速い空気の流量
- 4. A · With all meals and snacks that contain fat
- 5. C · Hold a pillow firmly against the wound while coughing
- 6. D · CT pulmonary angiography
- 7. A · 患者を座位にし、十分にアセスメントして、体液過剰を報告する
- 8. B · Up to five back blows, then up to five abdominal thrusts if needed
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。