1.やさしい
Pain that has lasted for more than three months is usually called:
- AChronic pain
- BBreakthrough pain
- CReferred pain
- DAcute pain
2.やさしい
Why is a tourniquet used when taking blood from a vein?
- AIt sterilises the skin over the vein
- BIt stops the patient feeling the needle
- CIt prevents bruising after the test
- DIt makes the veins fill and easier to find
3.やさしい
What is health literacy?
- AA person's ability to find, understand and use health information
- BA nurse's knowledge of medical terms and abbreviations used in notes
- CA test of a patient's reading speed
- DThe number of health books a person has read
4.ふつう
While being helped to eat, a patient with dysphagia coughs and their voice sounds wet and gurgly. What should the nurse do?
- AGive a drink of water to wash the food down
- BStop feeding and report for a swallowing assessment
- CLie the patient flat to rest
- DFeed more quickly so the meal is finished before they tire
5.ふつう
How should a patient walk with a standard (non-wheeled) walking frame?
- APush the frame along the floor while walking quickly
- BLean forward on the frame and slide the feet
- CLift the frame forward, then step into it
- DStep forward first, then pull the frame after
6.ふつう
Why is hand hygiene still needed after removing gloves?
- AGlove powder causes skin allergies and must always be washed off the hands
- BIt is not needed, as the gloves protected the hands
- CHand hygiene is only needed if the gloves were sterile
- DGloves can have tiny holes and hands can be contaminated during removal
7.むずかしい
カテーテルを留置している体重 70 kg の術後患者の尿量が、この 3 時間、1 時間あたり 20 mL です。最も適切な解釈は?
- A水分制限が必要な多尿
- B手術後の正常な尿量
- C朝のチームが確認するまで安全に放置してよい、カテーテルの閉塞
- D0.5 mL/kg/h を下回っているため、エスカレーションすべき乏尿
8.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?
- APodiatry for nail care
- BOccupational therapy for a home assessment
- CSpeech and language therapy for a swallowing assessment
- DDietitian for a weight-loss plan
解答
- 1. A · Chronic pain
- 2. D · It makes the veins fill and easier to find
- 3. A · A person's ability to find, understand and use health information
- 4. B · Stop feeding and report for a swallowing assessment
- 5. C · Lift the frame forward, then step into it
- 6. D · Gloves can have tiny holes and hands can be contaminated during removal
- 7. D · 0.5 mL/kg/h を下回っているため、エスカレーションすべき乏尿
- 8. B · Occupational therapy for a home assessment
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