1.やさしい
Where are AED pads usually placed on an adult?
- ABoth pads on the abdomen, just below the ribs on either side
- BBelow the right collarbone and on the left side below the armpit
- CBoth pads on the back, side by side between the shoulder blades
- DOn each upper arm
2.やさしい
Which side effects are common after inhaled salbutamol (albuterol)?
- ADrowsiness and a slow heart rate
- BConstipation and dry eyes
- CWeight gain and ankle swelling
- DFine tremor and a fast heart rate
3.やさしい
Which side effect is typical of ACE inhibitors such as ramipril or lisinopril?
- AA persistent dry cough
- BA productive cough with green sputum
- CSwelling of both ankles
- DA fast, irregular heart rate
4.ふつう
A pulse oximeter on a patient's finger gives an unreliable, flickering reading. Which factor is the most likely cause?
- AThe patient having eaten recently
- BCold hands with poor peripheral circulation
- CThe patient sitting upright in a chair
- DA regular heart rate of 75 beats per minute
5.ふつう
未分画ヘパリンの持続注入の調整に用いる検査はどれですか?
- AaPTT(または抗Xa活性)
- BINR(国際標準比)
- C血清フィブリノゲン値
- DDダイマー値
6.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
- BStop all monitoring if the patient says they feel better
- CReassess heart rate, blood pressure, urine output and lung sounds
- DWait until the next routine observations in four hours
7.むずかしい
During a thrombolytic infusion for an MI, the patient develops a sudden severe headache, vomiting and new confusion. What should the nurse do first?
- AGive a second dose to finish the treatment
- BContinue the infusion, as headache is a common side effect
- CSlow the infusion and give an antiemetic
- DStop the infusion and call for urgent medical help
8.むずかしい
After a car crash, a patient is severely breathless with absent breath sounds on the right, a deviated trachea, distended neck veins and BP 76/40 mmHg. What is the immediate management?
- AA chest X-ray to confirm the diagnosis before any treatment
- BInsertion of a urinary catheter to monitor output
- CLying the patient flat with the legs raised
- DUrgent needle or finger decompression of the right chest
解答
- 1. B · Below the right collarbone and on the left side below the armpit
- 2. D · Fine tremor and a fast heart rate
- 3. A · A persistent dry cough
- 4. B · Cold hands with poor peripheral circulation
- 5. A · aPTT(または抗Xa活性)
- 6. C · Reassess heart rate, blood pressure, urine output and lung sounds
- 7. D · Stop the infusion and call for urgent medical help
- 8. D · Urgent needle or finger decompression of the right chest
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