1.やさしい
「嚥下障害(dysphagia)」とはどういう意味ですか?
- A話しにくいこと
- B息切れ
- C飲み込みにくいこと
- D排尿時の痛み
2.やさしい
A nurse sees a colleague giving care that puts a patient at risk. What should the nurse do?
- AIgnore it to keep a good relationship with the colleague
- BPost about it on social media
- CWait to see whether it happens again
- DRaise the concern through the proper channels
3.やさしい
Leaving a dependent adult without food, warmth or basic care is which type of abuse?
- ASexual abuse
- BPsychological abuse
- CNeglect
- DFinancial abuse
4.ふつう
患者の橈骨動脈の脈が不規則です。どのように数えるべきですか?
- A自動血圧計でだけ確認する
- B15 秒間数えて 4 倍する
- Cまる 60 秒間、できれば心尖部で数える
- D10 秒間数えて 6 倍する
5.ふつう
What is the purpose of the Z-track technique for intramuscular injections?
- AIt seals the drug in the muscle and stops it leaking into the tissue above
- BIt lets the nurse give a larger volume into a small muscle
- CIt numbs the skin before the needle goes in
- DIt makes the injection go into the fatty tissue instead of the muscle
6.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 first clear tapping sound is heard
- CWhen the sounds become loudest
- DWhen the cuff is fully deflated
7.むずかしい
A pulse oximeter reads 82% on a patient with cold hands who is talking in full sentences with a normal respiratory rate. What is the best first action?
- ARecord the reading and recheck it at the next routine set of observations
- BCheck the patient and probe, then warm the hand or move the probe
- CIgnore the reading because the patient looks well
- DRemove any oxygen because the reading must be wrong
8.むずかしい
Why can a patient with a high fever be in negative fluid balance even when measured intake equals measured output?
- AFever makes the kidneys produce extra urine that cannot be measured
- BFever causes the body to make extra water from fat
- CFever has no effect on the body's water balance
- DFever increases unmeasured fluid loss through sweating and breathing
解答
- 1. C · 飲み込みにくいこと
- 2. D · Raise the concern through the proper channels
- 3. C · Neglect
- 4. C · まる 60 秒間、できれば心尖部で数える
- 5. A · It seals the drug in the muscle and stops it leaking into the tissue above
- 6. A · When the sounds disappear completely
- 7. B · Check the patient and probe, then warm the hand or move the probe
- 8. D · Fever increases unmeasured fluid loss through sweating and breathing
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