1.やさしい
Which drug is the first-line treatment for anaphylaxis?
- AIntravenous antibiotics given straight away
- BAn oral antihistamine given on its own
- COral paracetamol
- DIntramuscular adrenaline (epinephrine)
2.やさしい
What is an incident report used for?
- AOrdering equipment for the ward
- BRecording staff holiday requests
- CRecording an event that caused or could have caused harm
- DRecording the patient's daily observations and fluid balance
3.やさしい
What does "PRN" mean on a prescription?
- ABefore meals
- BEvery morning
- CImmediately
- DAs needed
4.ふつう
A patient can wash their face and arms but cannot reach their back and feet. What is the best approach?
- ALet the patient do what they can and help with the rest
- BLeave the back and feet unwashed
- CWash the patient completely yourself to save time and effort
- DAsk the patient to wait until a relative visits
5.ふつう
Why do nurses often count the respiratory rate while still appearing to take the pulse?
- AIt is not allowed to tell patients that breathing is measured
- BThe pulse and breathing rates are always the same number
- CPatients who know their breathing is watched tend to change it
- DCounting breaths is only accurate when the wrist is held
6.ふつう
When should discharge planning begin?
- AOn admission, or as early as possible
- BOn the morning of discharge
- COnly after the doctor agrees to discharge
- DAfter the patient has gone home
7.むずかしい
During medicines reconciliation, the patient says they take an anticoagulant at home, but it has not been prescribed in hospital. What should the nurse do?
- AInform the prescriber so the omission can be reviewed
- BIgnore it, as the hospital doctor knows best
- CGive the patient's own supply without telling anyone
- DTell the patient to stop it for good
8.むずかしい
ある患者の酸素飽和度の目標は 88~92% です。この低めの目標を最もよく説明する病態は?
- A若年成人の喘息発作
- B慢性肺疾患のない、もともと健康な患者の肺炎
- C高二酸化炭素血症のリスクがある COPD
- D一酸化炭素中毒
解答
- 1. D · Intramuscular adrenaline (epinephrine)
- 2. C · Recording an event that caused or could have caused harm
- 3. D · As needed
- 4. A · Let the patient do what they can and help with the rest
- 5. C · Patients who know their breathing is watched tend to change it
- 6. A · On admission, or as early as possible
- 7. A · Inform the prescriber so the omission can be reviewed
- 8. C · 高二酸化炭素血症のリスクがある COPD
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