1.やさしい
In which position is the patient's head lower than their feet?
- ALithotomy position
- BSemi-Fowler's position
- CSims' position
- DTrendelenburg position
2.やさしい
Which of these is one of the "rights" of medication administration?
- AThe right colour
- BThe right ward
- CThe right route
- DThe right nurse
3.やさしい
Which position is commonly used for giving an enema?
- AHigh Fowler's position
- BLeft side-lying (Sims') position
- CProne position
- DRight side-lying position with both knees bent
4.ふつう
A patient tells the nurse about abuse and asks them to keep it a secret. What should the nurse say?
- AThat they cannot promise secrecy if someone is at risk of harm
- BThat they will tell everyone on the ward so the patient is safe
- CThat they cannot listen to this and the patient should tell a doctor
- DThat they promise to keep it secret, so the patient keeps trusting them
5.ふつう
Why is an IV giving set primed before connecting it to the patient?
- ATo check the speed of the pump
- BTo test whether the patient is allergic to the fluid
- CTo warm the fluid to body temperature
- DTo remove air from the line
6.ふつう
How is a 24-hour urine collection started?
- AA sample is taken every four hours and the rest discarded
- BThe first urine of the morning is kept and the rest of the day's urine is discarded
- COnly urine passed at night is collected
- DThe first urine of the morning is discarded and the time noted, then all urine is kept
7.むずかしい
In a patient with sepsis, what does a raised blood lactate suggest?
- AThe patient has eaten recently
- BThe tissues are not getting enough oxygen
- CThe infection has been cured
- DThe kidneys are making too much urine
8.むずかしい
A patient with COPD and a known risk of hypercapnia is acutely breathless with an SpO₂ of 82%. What is correct?
- AWait for an arterial blood gas result before giving any oxygen at all
- BGive the highest oxygen flow possible and aim for 100%
- CWithhold oxygen completely, because oxygen is dangerous in COPD
- DGive controlled oxygen, e.g. via a Venturi mask, aiming for 88–92%
解答
- 1. D · Trendelenburg position
- 2. C · The right route
- 3. B · Left side-lying (Sims') position
- 4. A · That they cannot promise secrecy if someone is at risk of harm
- 5. D · To remove air from the line
- 6. D · The first urine of the morning is discarded and the time noted, then all urine is kept
- 7. B · The tissues are not getting enough oxygen
- 8. D · Give controlled oxygen, e.g. via a Venturi mask, aiming for 88–92%
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