1.やさしい
How is cardiac output calculated?
- AMean arterial pressure multiplied by heart rate
- BStroke volume divided by heart rate
- CHeart rate multiplied by stroke volume
- DSystolic pressure minus diastolic pressure
2.やさしい
What does a positive tuberculin skin test or interferon-gamma release assay show?
- AComplete, lifelong immunity to TB after a previous vaccine
- BActive, infectious TB of the lungs that needs isolation now
- CInfection with TB at some time, not necessarily active disease
- DThat the patient has never met TB
3.やさしい
What is Cheyne–Stokes breathing?
- ACycles of deeper then shallower breaths followed by a pause
- BConstant deep, fast breathing that never changes in depth
- CA harsh, high-pitched sound on breathing in through the throat
- DBreathing only through pursed lips
4.ふつう
現在のガイダンスによると、急性冠症候群の患者に酸素を投与するのはいつですか?
- A飽和度にかかわらず、常に15 L/分で
- BSpO₂が目標範囲を下回るときだけ
- Cトロポニンの結果が出てからだけ
- D酸素は心筋を傷めるので、決して投与しない
5.ふつう
Which energy-conservation advice is most useful for a patient with severe COPD?
- ADo all the household tasks quickly in the morning to get them done
- BHold the breath while lifting heavy objects
- CSit down for tasks such as washing and dressing, and pace activities
- DAvoid any activity at all, staying in a chair to save their energy
6.ふつう
A young patient with hypertrophic cardiomyopathy asks why they are told to avoid dehydration. What is the best explanation?
- ALow blood volume can worsen obstruction of blood leaving the heart
- BFluids dissolve the extra muscle in the heart wall
- CDehydration makes the heart muscle grow thicker within a few hours
- DDehydration is the cause of the inherited condition
7.むずかしい
On day 2 after a surgical tracheostomy, the tube falls out. The patient is breathing but distressed. What should the nurse do first?
- ACall for expert help and give oxygen to both the face and the stoma
- BForce the tube back through the stoma immediately with firm pressure
- CCover the stoma completely with a sealed dressing and wait for help
- DLeave the patient alone while fetching a new tube
8.むずかしい
A nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?
- A"I will check before taking any new medicines or herbal remedies."
- B"If I miss a dose, I will take two the next day."
- C"I will tell my dentist that I take warfarin."
- D"I will have regular INR blood tests."
解答
- 1. C · Heart rate multiplied by stroke volume
- 2. C · Infection with TB at some time, not necessarily active disease
- 3. A · Cycles of deeper then shallower breaths followed by a pause
- 4. B · SpO₂が目標範囲を下回るときだけ
- 5. C · Sit down for tasks such as washing and dressing, and pace activities
- 6. A · Low blood volume can worsen obstruction of blood leaving the heart
- 7. A · Call for expert help and give oxygen to both the face and the stoma
- 8. B · "If I miss a dose, I will take two the next day."
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