1.やさしい
Why does chemotherapy often affect the bone marrow, gut lining and hair?
- AThese tissues contain rapidly dividing cells
- BThese tissues have no blood supply
- CThese tissues are the main sites of cancer
- DThese tissues store the chemotherapy drugs
2.やさしい
What should patients usually be told about hair loss from chemotherapy?
- AIt happens with every type of cancer treatment, including surgery
- BIt is usually temporary, and hair grows back afterwards
- CIt means the treatment is not working
- DIt is always permanent with every drug
3.やさしい
How does the pain of acute appendicitis typically progress?
- AIt stays in the upper abdomen and eases after meals
- BIt starts around the umbilicus, then moves to the right lower abdomen
- CIt starts in the right shoulder, then moves to the chest
- DIt starts in the left lower abdomen, then spreads to the back
4.ふつう
Which burn should usually be discussed with a specialist burns service even if it is small?
- AA healed burn scar from many years ago
- BA small superficial sunburn on the back
- CA tiny burn on the forearm with redness only
- DA partial-thickness burn on the hand
5.ふつう
How is the height of an epidural sensory block usually checked?
- AMeasuring the patient's blood glucose level
- BTesting sensation to cold with ice or a cold spray
- CChecking the colour of the patient's urine
- DTapping the knee with a reflex hammer and recording the score
6.ふつう
A patient had an upper GI endoscopy with a local anaesthetic throat spray. What must the nurse check before giving a drink?
- AThat swallowing and the gag reflex have returned
- BThat the patient has passed urine since the procedure
- CThat bowel sounds are present in all four quadrants
- DThat the patient's blood glucose is above normal
7.むずかしい
On day 5 after bowel resection, a patient has a fever, tachycardia and worsening abdominal pain, and the drain contains brown, faeculent fluid. What is most likely?
- AA normal day 5 recovery
- BA urinary tract infection
- CPostoperative constipation
- DAn anastomotic leak
8.むずかしい
A patient with a PICC line develops swelling and aching of the same arm and prominent veins on the chest. What should the nurse suspect?
- AAn allergy to the dressing
- BLymphoedema from a previous operation
- CA catheter-related deep vein thrombosis
- DNormal swelling after line insertion
解答
- 1. A · These tissues contain rapidly dividing cells
- 2. B · It is usually temporary, and hair grows back afterwards
- 3. B · It starts around the umbilicus, then moves to the right lower abdomen
- 4. D · A partial-thickness burn on the hand
- 5. B · Testing sensation to cold with ice or a cold spray
- 6. A · That swallowing and the gag reflex have returned
- 7. D · An anastomotic leak
- 8. C · A catheter-related deep vein thrombosis
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