1.やさしい
患者の守秘とはどういう意味ですか?
- A診断を知ってよいのは医師だけである
- B患者を知っている人であれば、頼まれれば誰とでも情報を共有できる
- C患者に関する情報は、ケアのために必要とする人とだけ共有される
- D患者は自分の記録を決して見られない
2.やさしい
What does "PRN" mean on a prescription?
- AAs needed
- BEvery morning
- CBefore meals
- DImmediately
3.やさしい
What does "orthopnoea" mean?
- ABreathlessness that only starts after heavy exercise
- BBreathing that stops for short periods during sleep
- CBreathlessness when lying flat that eases on sitting up
- DA breathing rate that is slower than normal
4.ふつう
What is the purpose of a negative-pressure isolation room?
- AIt makes it easier for patients to breathe
- BAir flows into the room, so airborne particles do not escape into the corridor
- CAir flows out of the room, keeping germs from the corridor away from the patient
- DThe low pressure kills bacteria inside the room
5.ふつう
A student nurse is asked to carry out a procedure they have not been trained to do. What should they do?
- AWatch a video and then do it alone
- BExplain that they have not been trained and ask for supervision
- CAsk the patient to talk them through it
- DDo it anyway, carefully, to avoid upsetting the team or delaying care
6.ふつう
使用前に経鼻胃管が胃内にあることを確認する最も確実な方法は?
- A患者に違和感がないか聞く
- B空気を注入して「ゴボッ」という音を聴く
- Cチューブの先を水に入れて泡が出るか見る
- D吸引物の pH を調べ、必要なら胸部 X 線を撮る
7.むずかしい
A competent adult who is a Jehovah's Witness refuses a blood transfusion that the team believes is needed. Which two ethical principles are in conflict?
- AVeracity and non-maleficence
- BJustice and veracity
- CFidelity and justice
- DAutonomy and beneficence
8.むずかしい
According to current European (ERC) and 2025 American Heart Association guidelines, what is the first action for a conscious adult who is choking and cannot cough effectively?
- AGive 5 rescue breaths
- BGive up to 5 back blows
- CStart chest compressions at once
- DGive a glass of water
解答
- 1. C · 患者に関する情報は、ケアのために必要とする人とだけ共有される
- 2. A · As needed
- 3. C · Breathlessness when lying flat that eases on sitting up
- 4. B · Air flows into the room, so airborne particles do not escape into the corridor
- 5. B · Explain that they have not been trained and ask for supervision
- 6. D · 吸引物の pH を調べ、必要なら胸部 X 線を撮る
- 7. D · Autonomy and beneficence
- 8. B · Give up to 5 back blows
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