1.やさしい
What is the main reason patients are kept nil by mouth before a general anaesthetic?
- ATo lower the blood pressure during the operation
- BTo reduce the risk of inhaling stomach contents
- CTo make the anaesthetic drugs taste better
- DTo make the patient lose weight before surgery
2.やさしい
What is wound dehiscence?
- AA wound that heals faster than expected
- BPartial or complete separation of the wound edges
- CBleeding into the tissue underneath the closed wound
- DA raised, thick scar after healing
3.やさしい
When using a fire extinguisher with the PASS method, where should it be aimed?
- AAt the top of the flames
- BAt the wall behind the fire
- CAt the base of the fire
- DAt the smoke above the fire
4.ふつう
患者の状態が悪化するとき、最初に現れることが多い警告サインは?
- A心拍数の低下
- B体温の低下
- C食欲の改善
- D呼吸数の増加
5.ふつう
During a manual blood pressure measurement in an adult, which point is usually recorded as the diastolic pressure?
- AWhen the sounds disappear completely
- BWhen the cuff is fully deflated
- CWhen the first clear tapping sound is heard
- DWhen the sounds become loudest
6.ふつう
What is the purpose of the Z-track technique for intramuscular injections?
- AIt lets the nurse give a larger volume into a small muscle
- BIt seals the drug in the muscle and stops it leaking into the tissue above
- CIt makes the injection go into the fatty tissue instead of the muscle
- DIt numbs the skin before the needle goes in
7.むずかしい
A urine culture reports a mixed growth of several organisms. What is the most likely explanation?
- AThe patient is resistant to all antibiotics
- BThe sample was contaminated during collection
- CThe laboratory used the wrong test
- DThe patient has several serious infections at once
8.むずかしい
An 86-year-old has new confusion and a temperature of 37.1 °C. Why should infection still be considered?
- AOlder adults normally have a higher body temperature
- BA temperature of 37.1 °C is a fever in older adults
- COlder adults often have a weaker fever response to infection
- DConfusion is always caused by infection in older adults
解答
- 1. B · To reduce the risk of inhaling stomach contents
- 2. B · Partial or complete separation of the wound edges
- 3. C · At the base of the fire
- 4. D · 呼吸数の増加
- 5. A · When the sounds disappear completely
- 6. B · It seals the drug in the muscle and stops it leaking into the tissue above
- 7. B · The sample was contaminated during collection
- 8. C · Older adults often have a weaker fever response to infection
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