1.やさしい
What does the ASA physical status classification describe?
- AThe exact length of the planned operation
- BThe patient's pain score after surgery
- CThe type of anaesthetic drug the surgeon prefers
- DThe patient's general health before anaesthesia
2.やさしい
Which is a role of the scrub practitioner in theatre?
- AObtaining the patient's surgical consent
- BPreparing and passing sterile instruments
- CMoving equipment outside the sterile field only
- DGiving the anaesthetic drugs to the patient
3.やさしい
治癒中の創で、赤く、湿っていて、顆粒状に見える組織はどれですか?
- A乾燥した痂皮(エスカー)
- B肉芽組織
- C黄色い壊死組織(スラフ)
- D壊死組織
4.ふつう
Which advice helps prevent dumping syndrome after gastrectomy?
- ASit upright and walk briskly straight after every meal
- BSmall, frequent meals low in simple sugars, with fluids between meals
- CA high-sugar diet with fruit juice to keep energy levels up
- DThree large meals a day with plenty of sweet drinks with each meal
5.ふつう
Which description fits a category (stage) 4 pressure ulcer?
- AFull-thickness loss with exposed bone, tendon or muscle
- BIntact skin with redness that does not blanch
- CA shallow wound into the dermis only
- DA blister filled with clear fluid over the heel or sacrum
6.ふつう
A dying patient can no longer drink. Which mouth care is most appropriate?
- ABrushing hard with a stiff toothbrush twice a day
- BNo mouth care, to avoid disturbing the patient
- CFrequent, gentle moistening of the mouth and lips
- DLemon and glycerine swabs every hour to stimulate saliva
7.むずかしい
During burn resuscitation, a 70 kg adult's urine output has been 120 mL/h for 3 hours, and the face and limbs are very oedematous. What should the nurse do?
- ADiscuss reducing the fluid rate with the team
- BStop all IV fluids completely and remove the catheter
- CIncrease the fluid rate to keep the output high
- DGive a diuretic without discussing it
8.むずかしい
A 76-year-old with a past peptic ulcer needs long-term anti-inflammatory treatment for arthritis. Which plan best reduces GI bleeding risk?
- ATake the NSAID with a glass of milk instead of food
- BConsider an alternative; if an NSAID is needed, add a PPI
- CUse the highest NSAID dose to shorten the course
- DCombine two different NSAIDs at lower doses
解答
- 1. D · The patient's general health before anaesthesia
- 2. B · Preparing and passing sterile instruments
- 3. B · 肉芽組織
- 4. B · Small, frequent meals low in simple sugars, with fluids between meals
- 5. A · Full-thickness loss with exposed bone, tendon or muscle
- 6. C · Frequent, gentle moistening of the mouth and lips
- 7. A · Discuss reducing the fluid rate with the team
- 8. B · Consider an alternative; if an NSAID is needed, add a PPI
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