1.やさしい
What is a pneumothorax?
- AAir in the pleural space causing the lung to collapse
- BFluid in the alveoli caused by heart failure
- CPus collecting in the pleural space
- DInflammation of the lung tissue caused by infection
2.やさしい
What is the main function of the epiglottis?
- AIt covers the entrance to the larynx during swallowing
- BIt vibrates to produce the sound of the voice when speaking
- CIt warms and moistens the air on its way into the lungs
- DIt divides the trachea into two bronchi
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座って、腕を支えて前かがみになる
- D仰向けに寝て、両脚を枕の上に上げる
4.ふつう
A patient has a prosthetic heart valve. Which teaching best reduces the risk of infective endocarditis?
- AAvoid all physical exercise for the rest of their life
- BAvoid eating dairy products and raw vegetables
- CKeep teeth and gums healthy with regular dental check-ups
- DTake a daily antibiotic tablet indefinitely
5.ふつう
How should a patient breathe in when using a pressurised metered-dose inhaler without a spacer?
- AIn short gasps through the nose while pressing the canister
- BSlowly and deeply while pressing the canister, then hold the breath
- CAs hard and fast as possible, then press the canister afterwards
- DNormally, while breathing out through the mouthpiece
6.ふつう
After coronary artery bypass surgery through a median sternotomy, which instruction is usually given for the first several weeks?
- AAvoid heavy lifting and pushing up with the arms
- BLift the arms above the head often to stretch the chest
- CSleep only on the stomach to protect the wound
- DAvoid walking until the stitches are removed
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腫れがすぐ治まるよう、次の投与を早める
- Bこれは予想される無害な副作用だと説明する
- C唇に氷を当て、朝にもう一度評価する
- D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.むずかしい
Four hours after abdominal surgery, a patient's heart rate has risen from 84 to 122/min and they are restless and pale. BP is still 118/76 mmHg, and the surgical drain is filling with blood. What should the nurse conclude?
- AEarly haemorrhagic shock is likely, so escalate urgently
- BThe drain is working well, so no action is needed
- CThe tachycardia is from pain and needs only analgesia
- DThe patient is stable because the blood pressure is normal
解答
- 1. A · Air in the pleural space causing the lung to collapse
- 2. A · It covers the entrance to the larynx during swallowing
- 3. C · 座って、腕を支えて前かがみになる
- 4. C · Keep teeth and gums healthy with regular dental check-ups
- 5. B · Slowly and deeply while pressing the canister, then hold the breath
- 6. A · Avoid heavy lifting and pushing up with the arms
- 7. D · 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. A · Early haemorrhagic shock is likely, so escalate urgently
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