1.やさしい
What is the "calf muscle pump"?
- AA device that inflates around the calf during surgery to warm the leg
- BThe artery that supplies oxygenated blood to the muscles of the calf
- CCalf muscles squeezing the deep veins to push blood towards the heart
- DA heart valve that pumps blood into the legs
2.やさしい
Mesothelioma of the pleura is strongly linked with exposure to which substance?
- AAsbestos
- BPollen
- CCoal dust
- DWood smoke
3.やさしい
Which sound is typical of a pleural friction rub?
- AA creaking, grating sound with each breath
- BA high-pitched musical sound on expiration
- CA harsh sound on breathing in from the throat
- DFine bubbling sounds that clear with coughing
4.ふつう
Which investigation is most often used to confirm a pulmonary embolism?
- AAbdominal ultrasound
- BSputum culture
- CCT pulmonary angiography
- DPeak flow measurement
5.ふつう
How big should a suction catheter be compared with the tracheostomy or endotracheal tube?
- AExactly the same diameter as the tube, for a tight fit
- BAny size, as the diameter does not matter
- CNo more than half the internal diameter of the tube
- DLarger than the tube, so that it clears it completely
6.ふつう
A patient who had a stroke has a weak swallow. Which measure most reduces the risk of aspiration pneumonia?
- AGiving meals while the patient is drowsy
- BLying flat for 30 minutes after eating to aid digestion
- CA swallowing assessment and sitting upright for meals
- DGiving thin fluids quickly through a straw between meals
7.むずかしい
ヘパリン持続注入の6日目に、血小板数が半分以上減少し、患者の腕に新たな腫れが出ました。看護師は何を予測すべきですか?
- Aヘパリンを続け、血小板輸血を行うこと
- B2週間、抗凝固療法をすべて中止すること
- C別の薬なので、低分子ヘパリンに切り替えること
- Dすべてのヘパリンを中止し、ヘパリン以外の抗凝固薬を開始すること
8.むずかしい
A ventilated patient is coughing, and the high-pressure alarm sounds. Coarse sounds are heard over the trachea. What should the nurse do first?
- ATurn the alarm off and reassess the patient in an hour
- BAssess the patient and suction if secretions are present
- CDeflate the endotracheal tube cuff fully
- DIncrease the tidal volume on the ventilator to overcome it
解答
- 1. C · Calf muscles squeezing the deep veins to push blood towards the heart
- 2. A · Asbestos
- 3. A · A creaking, grating sound with each breath
- 4. C · CT pulmonary angiography
- 5. C · No more than half the internal diameter of the tube
- 6. C · A swallowing assessment and sitting upright for meals
- 7. D · すべてのヘパリンを中止し、ヘパリン以外の抗凝固薬を開始すること
- 8. B · Assess the patient and suction if secretions are present
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。