1.やさしい
Which hormones are released from the posterior pituitary gland?
- ATSH and ACTH
- BInsulin and cortisol
- CADH (vasopressin) and oxytocin
- DGrowth hormone and prolactin
2.やさしい
急性腎障害(AKI)とは何を意味しますか?
- A腎組織の細菌感染症
- B機能に変化のない腎結石
- C数年かけてゆっくり進む、恒久的な腎機能の喪失
- D数時間から数日で急に腎機能が低下すること
3.やさしい
What is the normal range for serum potassium in an adult?
- AAbout 3.5–5.0 mmol/L
- BAbout 6.0–7.5 mmol/L
- CAbout 1.5–2.5 mmol/L
- DAbout 135–145 mmol/L
4.ふつう
A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?
- ALimit close contact with children and pregnant women for a time
- BThere are no precautions, because the dose is tiny
- CStart breastfeeding again the next day
- DStay in strict isolation in hospital for several months
5.ふつう
A patient is starting lamotrigine. Which teaching point is most important?
- ADouble the dose if a seizure happens
- BTake it with a glass of grapefruit juice to improve its absorption
- CExpect an orange tint to tears and urine
- DReport any skin rash promptly, especially in the first weeks
6.ふつう
For which patient with migraine would the nurse question an order for sumatriptan?
- AA patient who also has asthma
- BA patient with well-controlled hypothyroidism
- CA patient with a history of angina
- DA patient with an allergy to penicillin
7.むずかしい
The nurse has four endocrine patients. Which one needs to be seen first?
- AA patient with hyperthyroidism who is confused, with a temperature of 39.5 °C (103.1 °F)
- BA patient with Graves' disease asking about radioactive iodine
- CA patient after thyroidectomy with mild pain on swallowing
- DA patient with hypothyroidism who has been constipated for three days
8.むずかしい
C5の脊髄損傷の2日後、患者が不安を訴え、呼吸数が30/分、肺活量が低下しています。看護師はどうすべきですか?
- A約12時間後に、もう一度肺活量を再確認する
- B呼吸を遅くして不安を和らげるため、鎮静薬を投与する
- C気道を開くため、頭を後ろに倒して水平に寝かせる
- D緊急に上申する。脊髄の浮腫が呼吸不全を起こしているかもしれない
解答
- 1. C · ADH (vasopressin) and oxytocin
- 2. D · 数時間から数日で急に腎機能が低下すること
- 3. A · About 3.5–5.0 mmol/L
- 4. A · Limit close contact with children and pregnant women for a time
- 5. D · Report any skin rash promptly, especially in the first weeks
- 6. C · A patient with a history of angina
- 7. A · A patient with hyperthyroidism who is confused, with a temperature of 39.5 °C (103.1 °F)
- 8. D · 緊急に上申する。脊髄の浮腫が呼吸不全を起こしているかもしれない
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