1.やさしい
How is parenteral nutrition given?
- ABy mouth as a thick supplement drink
- BThrough a nasogastric tube into the stomach
- CInto the muscle of the thigh
- DInto a vein, usually through a central line
2.やさしい
What is abdominal paracentesis?
- ARemoval of the gallbladder through several small abdominal incisions
- BDraining fluid from the abdominal cavity with a needle or drain
- CA camera test of the lining of the large bowel
- DInjection of dye into a vein in the arm
3.やさしい
Which statement about hepatitis C is correct?
- AIt always clears by itself within two weeks
- BIt is spread mainly by food, and a vaccine is given to babies
- CIt can be treated only with a liver transplant
- DIt is spread mainly through blood, and there is no vaccine
4.ふつう
Why should antacids usually be taken at a different time from other medicines?
- AThey can reduce the absorption of many other drugs
- BThey destroy other drugs before they are swallowed
- CThey make all other drugs much more toxic
- DThey stop the kidneys from clearing other drugs
5.ふつう
Which medicine commonly delays wound healing?
- ALong-term corticosteroids
- BSaline eye drops
- CVitamin C supplements
- DParacetamol
6.ふつう
Which statement about pain in older adults is correct?
- APain is a normal part of ageing and does not need any treatment at all
- BThey may under-report pain, so active assessment is needed
- COlder adults feel less pain because nerves wear out
- DOpioids must never be used in people over 70
7.むずかしい
A nurse finds a dislodged sealed radiation source in the bed of a patient receiving brachytherapy. What should the nurse do?
- APick it up with gloved hands and put it in the nearest sharps bin quickly
- BLeave it in the bed until the end of the shift
- CThrow it in the clinical waste bag
- DUse long-handled forceps to put it in the lead container; report it
8.むずかしい
An hour after a line flush, a patient receiving parenteral nutrition has rigors and a temperature of 39.1 °C. What should the nurse suspect and do?
- ALow blood glucose; give a sugary drink
- BLine infection; escalate and take blood cultures
- CA normal reaction; give paracetamol and continue the infusion
- DFluid overload; reduce the infusion rate only
解答
- 1. D · Into a vein, usually through a central line
- 2. B · Draining fluid from the abdominal cavity with a needle or drain
- 3. D · It is spread mainly through blood, and there is no vaccine
- 4. A · They can reduce the absorption of many other drugs
- 5. A · Long-term corticosteroids
- 6. B · They may under-report pain, so active assessment is needed
- 7. D · Use long-handled forceps to put it in the lead container; report it
- 8. B · Line infection; escalate and take blood cultures
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