1.やさしい
What is the role of surfactant in the lungs?
- AIt carries oxygen across the membrane into the blood
- BIt lowers surface tension so the alveoli stay open
- CIt moves mucus up towards the throat
- DIt kills bacteria that reach the alveoli from the air
2.やさしい
What is the main risk factor for lung cancer?
- ADrinking coffee
- BLow blood pressure
- CCigarette smoking
- DA high-protein diet
3.やさしい
Where is the apex beat normally felt in an adult?
- AOver the middle of the breastbone
- BThe fifth intercostal space in the left mid-clavicular line
- CJust below the right nipple
- DThe second intercostal space to the right of the sternum
4.ふつう
After a prescribed IV fluid bolus for hypotension, what should the nurse do next?
- AStart a second fluid bolus straight away without checking anything
- BWait until the next routine observations in four hours
- CReassess heart rate, blood pressure, urine output and lung sounds
- DStop all monitoring if the patient says they feel better
5.ふつう
患者の血圧が200/125 mmHgで、新たな錯乱とかすみ目があります。通常、どのように降圧しますか?
- A新しい経口錠剤で、1週間後に再評価する
- B滴定した静注薬で、最初の1時間に最大約25%まで
- C脳が今は高い圧に依存しているので、まったく下げない
- Dできるだけ速く、数分で正常値まで
6.ふつう
A patient's capillary refill time at the fingertip is 4 seconds. What does this suggest?
- AA high haemoglobin level
- BNormal peripheral perfusion
- CReduced peripheral perfusion
- DAn unusually strong cardiac output
7.むずかしい
During CPR on an adult, a nurse notices a colleague compressing at about 140/min and leaning on the chest between compressions. Which correction is most appropriate?
- ASpeed up to about 160/min to improve the blood flow
- BPress more gently, to a depth of about 2 cm
- CStop compressions until a pulse is felt
- DSlow to 100–120/min and allow full chest recoil
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?
- AAn expected effect of the antibiotic
- BLymphoedema from lying in bed
- CA local skin allergy to the dressing
- DA catheter-related deep vein thrombosis
解答
- 1. B · It lowers surface tension so the alveoli stay open
- 2. C · Cigarette smoking
- 3. B · The fifth intercostal space in the left mid-clavicular line
- 4. C · Reassess heart rate, blood pressure, urine output and lung sounds
- 5. B · 滴定した静注薬で、最初の1時間に最大約25%まで
- 6. C · Reduced peripheral perfusion
- 7. D · Slow to 100–120/min and allow full chest recoil
- 8. D · A catheter-related deep vein thrombosis
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