1.やさしい
What defines type 2 respiratory failure?
- ALow PaO₂ with a normal or low PaCO₂
- BHigh PaO₂ with a high bicarbonate
- CLow PaO₂ with a raised PaCO₂
- DNormal PaO₂ with a low PaCO₂
2.やさしい
What is an aneurysm?
- AA complete blockage of an artery by plaque
- BAn abnormal bulging of a weakened artery wall
- CA blood clot in a deep vein
- DA tear in the inner lining of a vein
3.やさしい
In hospital, how is oxygen therapy treated?
- AAs a medicine that needs a prescription with a target range
- BAs a comfort measure that needs no prescription or monitoring
- CAs a treatment that patients adjust themselves
- DAs a treatment kept only for patients who are near the end of life
4.ふつう
After a prescribed IV fluid bolus for hypotension, what should the nurse do next?
- AReassess heart rate, blood pressure, urine output and lung sounds
- BWait until the next routine observations in four hours
- CStart a second fluid bolus straight away without checking anything
- DStop all monitoring if the patient says they feel better
5.ふつう
A 70 kg patient has passed 20 mL of urine per hour for the last three hours. How should this be interpreted?
- ANormal, because any measurable urine output is reassuring
- BBelow 0.5 mL/kg/h, suggesting poor kidney perfusion
- CHigh, suggesting fluid overload that needs a diuretic
- DNormal, because the target is 0.1 mL/kg/h
6.ふつう
Septic shock belongs to which category of shock?
- AObstructive shock
- BDistributive shock
- CCardiogenic shock
- DHypovolaemic shock
7.むずかしい
After an anaphylactic reaction to a bee sting that responded to adrenaline (epinephrine), a patient asks to go home immediately. Which advice is most appropriate?
- AGo home and take antihistamines only if the throat swells
- BStay for observation, then go home with an adrenaline auto-injector and teaching
- CStay in hospital for at least two weeks on daily intravenous antihistamines
- DGo home straight away, because anaphylaxis never recurs once adrenaline has worked
8.むずかしい
A patient receiving weeks of IV antibiotics through a PICC line in the left arm develops swelling and aching of that arm and neck veins that look fuller on the left. What should the nurse suspect?
- AA local skin allergy to the dressing
- BA catheter-related deep vein thrombosis
- CLymphoedema from lying in bed
- DAn expected effect of the antibiotic
解答
- 1. C · Low PaO₂ with a raised PaCO₂
- 2. B · An abnormal bulging of a weakened artery wall
- 3. A · As a medicine that needs a prescription with a target range
- 4. A · Reassess heart rate, blood pressure, urine output and lung sounds
- 5. B · Below 0.5 mL/kg/h, suggesting poor kidney perfusion
- 6. B · Distributive shock
- 7. B · Stay for observation, then go home with an adrenaline auto-injector and teaching
- 8. B · A catheter-related deep vein thrombosis
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