1.やさしい
In hospital, how is oxygen therapy treated?
- AAs a comfort measure that needs no prescription or monitoring
- BAs a treatment kept only for patients who are near the end of life
- CAs a treatment that patients adjust themselves
- DAs a medicine that needs a prescription with a target range
2.やさしい
Where in the kidney does furosemide mainly act?
- AThe glomerulus
- BThe loop of Henle
- CThe renal artery
- DThe collecting duct only
3.やさしい
COPDの急性増悪の患者が楽に呼吸できるようにする体位は、通常どれですか?
- A固いマットレスの上でうつ伏せになる
- B頭を低くして横向きに寝る
- C仰向けに寝て、両脚を枕の上に上げる
- D座って、腕を支えて前かがみになる
4.ふつう
恒久型ペースメーカーの植込み後、最初の数週間に一般的に与えられる指示はどれですか?
- A1日2回、創をしっかりマッサージする
- B6週間はシャワーも洗身もしない
- C6か月以上、三角巾で腕を完全に動かさない
- Dその側の腕を肩の高さより上に上げない
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
- CLarger than the tube, so that it clears it completely
- DNo more than half the internal diameter of the tube
6.ふつう
A patient is on a short course of oral prednisolone for an asthma exacerbation. Which effect should the nurse monitor for?
- ARaised blood glucose
- BSlow heart rate
- CLow blood sodium
- DLow blood pressure
7.むずかしい
A patient on an unfractionated heparin infusion has a nosebleed that will not stop, and the aPTT is far above the target range. What is the most appropriate action?
- AStop the infusion, inform the prescriber and anticipate protamine
- BGive vitamin K and continue the infusion at a slightly lower rate
- CIncrease the infusion, as the aPTT will settle
- DContinue the infusion at the same rate and pack the nose firmly
8.むずかしい
After positive end-expiratory pressure (PEEP) is increased on a ventilated patient, the blood pressure falls. What is the most likely reason?
- APEEP lowers the blood oxygen level
- BPEEP causes immediate blood loss from the alveolar capillaries
- CHigher chest pressure reduces venous return to the heart
- DPEEP directly weakens the heart muscle and its contraction
解答
- 1. D · As a medicine that needs a prescription with a target range
- 2. B · The loop of Henle
- 3. D · 座って、腕を支えて前かがみになる
- 4. D · その側の腕を肩の高さより上に上げない
- 5. D · No more than half the internal diameter of the tube
- 6. A · Raised blood glucose
- 7. A · Stop the infusion, inform the prescriber and anticipate protamine
- 8. C · Higher chest pressure reduces venous return to the heart
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