1.やさしい
Which sign suggests acute cholecystitis?
- APain in the left lower abdomen when the right side is pressed
- BA flapping tremor of the hands when the arms are held out
- CBruising around the umbilicus and over both flanks of the abdomen
- DPain that stops a deep breath when the right upper abdomen is pressed
2.やさしい
What is an ERCP?
- AA CT scan of the abdomen without contrast
- BAn open operation to remove the gallbladder
- CAn endoscopic test to view and treat the bile and pancreatic ducts
- DA blood test that measures pancreatic enzymes
3.やさしい
What is an escharotomy?
- ADraining a blister with a needle
- BRemoval of the whole limb after a deep, extensive burn
- CA cut through burned, tight skin to relieve pressure
- DPlacing a skin graft on a burn
4.ふつう
高リスクの患者で、腫瘍崩壊症候群の予防に役立つ対策はどれですか?
- A化学療法中の、静注と経口のすべての水分の中止
- Bアロプリノールまたはラスブリカーゼを併用した静注による補液
- Cカリウム錠剤を併用した水分制限
- Dカルシウムとリンの毎日の補充
5.ふつう
Why is a pregnancy test often done before surgery in women who could be pregnant?
- AAnaesthesia, drugs and some tests may harm a fetus
- BPregnancy always makes surgery impossible
- CPregnant women cannot sign consent forms
- DIt is needed to calculate the anaesthetic drug dose
6.ふつう
Which statement about moist wound healing is correct?
- AA wet wound bed always prevents infection
- BA moist, not wet, wound bed helps cells move and heal faster
- CWounds heal fastest when left to dry out and form a scab
- DWounds should be soaked in water for hours every day
7.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
- CFluid overload; reduce the infusion rate only
- DA normal reaction; give paracetamol and continue the infusion
8.むずかしい
Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?
- AGive the next dose with extra food
- BIncrease the dose to treat the pain better and encourage fluids
- CWithhold the next dose and report to the prescriber
- DChange to a higher-strength NSAID tablet
解答
- 1. D · Pain that stops a deep breath when the right upper abdomen is pressed
- 2. C · An endoscopic test to view and treat the bile and pancreatic ducts
- 3. C · A cut through burned, tight skin to relieve pressure
- 4. B · アロプリノールまたはラスブリカーゼを併用した静注による補液
- 5. A · Anaesthesia, drugs and some tests may harm a fetus
- 6. B · A moist, not wet, wound bed helps cells move and heal faster
- 7. B · Line infection; escalate and take blood cultures
- 8. C · Withhold the next dose and report to the prescriber
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