1.やさしい
What is an aneurysm?
- AA complete blockage of an artery by plaque
- BA tear in the inner lining of a vein
- CA blood clot in a deep vein
- DAn abnormal bulging of a weakened artery wall
2.やさしい
What does the term "hypoxaemia" mean?
- AA low level of haemoglobin in the blood
- BA high level of carbon dioxide in the blood
- CA low level of oxygen in the arterial blood
- DA fast breathing rate with normal oxygen
3.やさしい
慢性閉塞性肺疾患(COPD)に含まれる2つの病態はどれですか?
- A喘息と肺炎
- B肺線維症とサルコイドーシス
- C気管支拡張症と嚢胞性線維症
- D肺気腫と慢性気管支炎
4.ふつう
Why is a beta-blocker started at a low dose and increased slowly in heart failure?
- AIt can briefly worsen symptoms before long-term benefit appears
- BIt is safe only at the highest possible dose from the very start
- CIt must be stopped as soon as symptoms improve
- DIt works only if the dose is never changed after the first day
5.ふつう
A peripheral cannula site is red, warm, tender and swollen along the vein. What should the nurse do?
- ACover the site and keep using it until it blocks
- BFlush the cannula hard to clear it
- CLeave it in place, as this is normal after 24 hours
- DRemove the cannula, document and monitor the site
6.ふつう
A patient has pneumonia in the right lung only. In which side-lying position will oxygenation usually be best?
- ALying on the left side, with the healthy lung down
- BLying on the right side, with the affected lung down
- CFlat on the back with no pillows
- DProne with the head down
7.むずかしい
昨日ACE阻害薬を開始した患者に、唇と舌の腫れと嗄声が出ました。看護師が最初にすべきことは何ですか?
- Aこれは予想される無害な副作用だと説明する
- B唇に氷を当て、朝にもう一度評価する
- C気道をアセスメントし、緊急の応援を呼び、以後の投与を保留する
- D腫れがすぐ治まるよう、次の投与を早める
8.むずかしい
A nurse finds a patient collapsed in bed and unresponsive. What should the nurse do first?
- ATake a full set of observations, including temperature and blood glucose
- BGive two rescue breaths, then check the blood glucose before calling anyone
- CShout for help, open the airway and check breathing for up to 10 seconds
- DLeave the patient to fetch a defibrillator before calling anyone
解答
- 1. D · An abnormal bulging of a weakened artery wall
- 2. C · A low level of oxygen in the arterial blood
- 3. D · 肺気腫と慢性気管支炎
- 4. A · It can briefly worsen symptoms before long-term benefit appears
- 5. D · Remove the cannula, document and monitor the site
- 6. A · Lying on the left side, with the healthy lung down
- 7. C · 気道をアセスメントし、緊急の応援を呼び、以後の投与を保留する
- 8. C · Shout for help, open the airway and check breathing for up to 10 seconds
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