1.やさしい
What does dysarthria mean?
- AInability to read or write after a brain injury
- BDifficulty swallowing food and drink safely
- CUnclear speech caused by weak or poorly coordinated speech muscles
- DLoss of the ability to understand spoken or written language
2.やさしい
血液透析用シャントのある腕で、避けなければならない行為はどれですか?
- A石けんと水で洗うこと
- Bスリルを確認するために、シャント部をそっと触れること
- C腕を普通に動かすこと
- D血圧計のカフや採血
3.やさしい
Where should a urinary catheter drainage bag be kept?
- AOn the floor under the bed, out of the way
- BBelow the level of the bladder and off the floor
- CAbove the bladder so urine flows faster
- DOn the bed next to the patient's pillow
4.ふつう
Why are patients on haemodialysis vaccinated against hepatitis B?
- AThe vaccine is needed to make the dialyser work
- BShared dialysis units carry a higher infection risk
- CHepatitis B vaccine improves the fistula flow
- DThe vaccine lowers the potassium level
5.ふつう
A patient with CKD is booked for a CT scan with iodinated contrast. Which measure helps protect the kidneys?
- AGood hydration around the scan, often with IV fluids
- BGiving a dose of ibuprofen before the scan
- CDoubling the dose of contrast for a clearer image
- DRestricting all fluids for 24 hours before the scan
6.ふつう
Why is good blood pressure control important in chronic kidney disease?
- AIt cures chronic kidney disease
- BIt lowers the blood glucose
- CIt slows the decline in kidney function
- DIt raises the haemoglobin level in the blood
7.むずかしい
A nurse teaches a carer to give buccal midazolam for prolonged seizures. Which statement shows a need for further teaching?
- A"I will put something between his teeth so he does not bite his tongue."
- B"I will give it into the space between his gum and cheek."
- C"I will write down the time the seizure started and the time I gave the dose."
- D"I will call an ambulance if the care plan tells me to."
8.むずかしい
A patient arrives five hours after the onset of a stroke. A CT angiogram shows a blockage of a large artery in the brain. What is the most appropriate next step?
- AGive aspirin and plan a review on the ward tomorrow
- BUrgent referral for assessment for mechanical thrombectomy
- CNo treatment, because the time for any reperfusion has passed
- DStart IV alteplase immediately without further imaging
解答
- 1. C · Unclear speech caused by weak or poorly coordinated speech muscles
- 2. D · 血圧計のカフや採血
- 3. B · Below the level of the bladder and off the floor
- 4. B · Shared dialysis units carry a higher infection risk
- 5. A · Good hydration around the scan, often with IV fluids
- 6. C · It slows the decline in kidney function
- 7. A · "I will put something between his teeth so he does not bite his tongue."
- 8. B · Urgent referral for assessment for mechanical thrombectomy
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