1.やさしい
Which of these is subjective data?
- AThe patient's skin is pale and moist
- BThe patient vomited 150 mL
- CThe patient says she feels sick
- DThe patient's temperature is 37.9 °C
2.やさしい
What does "dysuria" mean?
- APain or burning when passing urine
- BBlood in the urine, making it pink
- CWaking at night to pass urine
- DLeaking urine when coughing
3.やさしい
What is sepsis?
- AOrgan dysfunction caused by a harmful response to infection
- BAn allergic reaction to an antibiotic that causes a rash and fever
- CA mild local infection that stays in one place, such as a small boil
- DA viral infection of the upper airways
4.ふつう
How should a nurse help a patient with severe visual impairment on admission?
- AMove the patient's belongings around to keep the area tidy
- BIntroduce themselves, describe the room and keep items in place
- CGuide the patient by pushing them gently from behind as they walk
- DSpeak more loudly than usual
5.ふつう
Why does long-term immobility increase the risk of kidney stones?
- APatients on bed rest drink too much fluid
- BCalcium released from bone raises the calcium in the urine
- CLying flat makes the kidneys produce extra uric acid
- DThe kidneys stop producing urine during bed rest
6.ふつう
Which approach suits teaching an older adult with poor eyesight and mild memory problems?
- AShort sessions, large-print materials and repeating key points
- BOne long session with all the information at once
- CA detailed leaflet in small print for them to read later at home
- DTeaching only the family and not the patient
7.むずかしい
An older patient who lives alone is ready to go home after a hip fracture but worries about washing and cooking. Which referral is most appropriate?
- AOccupational therapy for a home assessment
- BSpeech and language therapy for a swallowing assessment
- CDietitian for a weight-loss plan
- DPodiatry for nail care
8.むずかしい
A patient's notes record a penicillin allergy with a rash. The new prescription is for amoxicillin. What should the nurse do?
- AWithhold it and contact the prescriber, as amoxicillin is a penicillin
- BGive an antihistamine first, then the amoxicillin
- CGive the dose, as amoxicillin is a different drug from penicillin itself
- DGive half the dose and watch for a rash
解答
- 1. C · The patient says she feels sick
- 2. A · Pain or burning when passing urine
- 3. A · Organ dysfunction caused by a harmful response to infection
- 4. B · Introduce themselves, describe the room and keep items in place
- 5. B · Calcium released from bone raises the calcium in the urine
- 6. A · Short sessions, large-print materials and repeating key points
- 7. A · Occupational therapy for a home assessment
- 8. A · Withhold it and contact the prescriber, as amoxicillin is a penicillin
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