1.やさしい
In peritoneal dialysis, what acts as the dialysis membrane?
- AThe wall of the bladder
- BThe lining of the abdominal cavity
- CA filter in a machine outside the body
- DThe lining of the stomach
2.やさしい
What is sciatica?
- AStiffness of the hips in the morning
- BPain that spreads down the back of the leg from an irritated nerve root
- CCramp in the calf muscle after exercise, caused by low potassium levels
- DPain in the front of the knee caused by arthritis
3.やさしい
After a head injury, a patient has bruising behind the ear over the mastoid bone. What does this suggest?
- AA fractured jaw
- BA fracture of the base of the skull
- CA simple scalp laceration
- DAn injury to the outer ear only
4.ふつう
For which patient with migraine would the nurse question an order for sumatriptan?
- AA patient with a history of angina
- BA patient who also has asthma
- CA patient with an allergy to penicillin
- DA patient with well-controlled hypothyroidism
5.ふつう
Which approach helps most when talking to a patient with expressive aphasia?
- ASpeak louder, because the patient cannot hear well
- BAsk questions that can be answered with yes, no or a gesture
- CAvoid talking to them until their speech has recovered
- DFinish their sentences quickly to save them effort
6.ふつう
DKAの治療中に、血糖が約14 mmol/L(約250 mg/dL)を下回りましたが、ケトンはまだ高いままです。通常どうしますか?
- Aインスリンの注入を直ちに中止する
- B患者が食事をとり、静注治療を中止する
- C輸液にブドウ糖を加え、インスリンを続ける
- D水分過剰を避けるため、すべての静注輸液を中止する
7.むずかしい
頸椎骨折でハローベストを装着している患者が、心停止を起こしました。直ちに使えるようにしておかなければならないのは何ですか?
- ACPRのためにベストの前面を開ける工具
- Bベストの下に滑り込ませる硬い板
- C頭蓋ピンを切るためのはさみ
- D頭と肩を持ち上げるための枕
8.むずかしい
The nurse has four urology patients. Which one needs to be seen first?
- AA patient after TURP with light pink drainage and mild discomfort
- BA patient with a nephrostomy who has rigors and a BP of 86/50 mmHg
- CA patient with stress incontinence asking about pelvic floor exercises
- DA patient with a suprapubic catheter due for a routine change
解答
- 1. B · The lining of the abdominal cavity
- 2. B · Pain that spreads down the back of the leg from an irritated nerve root
- 3. B · A fracture of the base of the skull
- 4. A · A patient with a history of angina
- 5. B · Ask questions that can be answered with yes, no or a gesture
- 6. C · 輸液にブドウ糖を加え、インスリンを続ける
- 7. A · CPRのためにベストの前面を開ける工具
- 8. B · A patient with a nephrostomy who has rigors and a BP of 86/50 mmHg
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