1.やさしい
Where is the apical pulse best heard in an adult?
- AAt the left side of the neck beside the windpipe
- BAt the second intercostal space just right of the sternum
- CAt the fifth intercostal space in the left midclavicular line
- DOver the lower end of the sternum in the midline
2.やさしい
低血糖に典型的なサインはどれですか?
- A発汗、ふるえ、混乱
- Bのどの渇きと多量の排尿
- C乾いた熱い皮膚と遅い呼吸
- D体重増加と足首のむくみ
3.やさしい
Before moving a patient, what should the nurse do with the bed height?
- ALeave it wherever it was
- BAdjust it to about the nurse's waist height
- CRaise it as high as it will go
- DLower it as far as it will go to protect the nurse's back
4.ふつう
How should oxygen cylinders be stored on a ward?
- ALying loose on the floor under the bed so they cannot fall over
- BStacked on top of each other in a corridor
- CSecured upright in a holder or trolley, away from heat
- DIn a warm cupboard next to the radiator
5.ふつう
A patient refuses their regular evening tablets. What should the nurse do first?
- AInsist until the patient takes them
- BExplore the reason for refusing
- CHide the tablets in their food
- DThrow the tablets away without telling anyone
6.ふつう
What is a portable bladder scanner used for?
- ATaking a sterile sample of urine for culture without a catheter
- BDetecting kidney stones
- CMeasuring how much urine is in the bladder without a catheter
- DChecking the urine for blood and protein
7.むずかしい
Why must medicines for Parkinson's disease, such as levodopa, be given on time?
- ALate doses cause the patient to fall asleep
- BThe drug becomes poisonous if it is given late
- CLate doses can cause severe stiffness, falls and swallowing problems
- DThe timing does not matter as long as the full daily total is given
8.むずかしい
What is the best way to check that a patient has learned to use an inhaler correctly?
- AAsk whether they have any questions
- BAsk whether they have read the leaflet
- CAsk them to repeat the drug's name
- DAsk the patient to show how they use it
解答
- 1. C · At the fifth intercostal space in the left midclavicular line
- 2. A · 発汗、ふるえ、混乱
- 3. B · Adjust it to about the nurse's waist height
- 4. C · Secured upright in a holder or trolley, away from heat
- 5. B · Explore the reason for refusing
- 6. C · Measuring how much urine is in the bladder without a catheter
- 7. C · Late doses can cause severe stiffness, falls and swallowing problems
- 8. D · Ask the patient to show how they use it
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