1.やさしい
Which behaviour may show that a patient is in pain but cannot say so?
- AEating a full meal and chatting
- BSleeping quietly and breathing slowly
- CGrimacing and guarding a part of the body
- DReading a newspaper calmly
2.やさしい
Which sign suggests an allergic reaction to a newly started antibiotic?
- AMild tiredness in the evening
- BAn itchy, raised rash (hives)
- CA small rise in appetite
- DFeeling slightly thirsty
3.やさしい
Which ageing change makes older adults' skin tear more easily?
- AThe skin becomes thinner and less elastic
- BThe skin gains more fat underneath
- CThe skin becomes thicker, oilier and better at holding water
- DThe skin produces more collagen
4.ふつう
Why is nail varnish or false nails often removed before surgery?
- AThey are a common cause of wound infection
- BThey can catch fire from the electrical equipment used in theatre
- CThey make the anaesthetic work less well
- DThey can affect pulse oximetry and checking skin colour
5.ふつう
A patient starts regular morphine. What is usually prescribed alongside it to prevent a common side effect?
- AAn antihistamine
- BAn antibiotic
- CA diuretic
- DA laxative
6.ふつう
How can nurses help patients sleep better on a hospital ward at night?
- ADo routine tasks such as bed changes at midnight while it is quiet
- BGive every patient a sleeping tablet
- CGroup care and observations so patients are disturbed less often
- DKeep the main lights on so staff can see clearly
7.むずかしい
Why must concentrated potassium chloride never be given as a quick intravenous injection?
- AIt stops the kidneys from working at once
- BIt can cause a fatal cardiac arrest
- CIt makes the potassium inactive in the blood
- DIt makes the vein turn blue for a week
8.むずかしい
すでに患者に届いてしまった与薬エラーに気づいたときの正しい対応は?
- A患者の状態を確認し、処方者に知らせ、インシデント報告システムで報告する
- B次の勤務の間に害が出るか様子をみて、患者の状態が変わった場合にのみ報告する
- Cエラーが見えないように記録を直す
- D患者が元気そうなら何も言わない
解答
- 1. C · Grimacing and guarding a part of the body
- 2. B · An itchy, raised rash (hives)
- 3. A · The skin becomes thinner and less elastic
- 4. D · They can affect pulse oximetry and checking skin colour
- 5. D · A laxative
- 6. C · Group care and observations so patients are disturbed less often
- 7. B · It can cause a fatal cardiac arrest
- 8. A · 患者の状態を確認し、処方者に知らせ、インシデント報告システムで報告する
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