1.やさしい
What does "bradypnoea" mean?
- ABreathing that stops completely
- BAn abnormally slow breathing rate
- CBreathing that is painful
- DAn abnormally fast breathing rate
2.やさしい
Which blood test is used to monitor patients taking warfarin?
- AThe serum sodium
- BThe HbA1c
- CThe INR
- DThe white cell count
3.やさしい
How are controlled drugs such as morphine stored on a ward?
- AIn the patient's bedside locker, so they can take them when needed
- BOn an open shelf in the treatment room
- CIn the staff room fridge
- DIn a locked controlled-drug cupboard with a register of stock
4.ふつう
Why might a nurse use silence during a conversation with a patient?
- AIt shows the patient that the nurse is busy and wants to move on
- BIt lets the nurse plan the next task
- CIt gives the patient time to think and say more
- DIt ends the conversation politely
5.ふつう
A bedbound patient who has not opened their bowels for a week now has liquid stool leaking constantly. What should the nurse suspect?
- ANormal bowel function returning
- BAn infection that needs antidiarrhoeal drugs at once
- CFaecal impaction with overflow
- DA side effect of drinking too much water
6.ふつう
An IV cannula site is swollen, cool and pale, and the infusion has slowed. What should the nurse do first?
- AApply a warm pack and keep the infusion running
- BIncrease the infusion rate to clear the blockage
- CFlush the cannula hard with saline
- DStop the infusion and remove the cannula
7.むずかしい
A patient receiving chemotherapy develops a temperature of 38.3 °C. Why is this treated as an emergency?
- AChemotherapy always causes a fever that needs no action
- BThey may have neutropenic sepsis, which can quickly become fatal
- CA fever shows the cancer has spread
- DThe fever means the chemotherapy has stopped working on the cancer
8.むずかしい
Where must the final identity check before a blood transfusion take place?
- AAt the bedside, with the patient and their wristband
- BIn the ward office, using the patient's notes and the prescription
- CIn the blood fridge, using the bag label
- DAt the nurses' station, with the ward list
解答
- 1. B · An abnormally slow breathing rate
- 2. C · The INR
- 3. D · In a locked controlled-drug cupboard with a register of stock
- 4. C · It gives the patient time to think and say more
- 5. C · Faecal impaction with overflow
- 6. D · Stop the infusion and remove the cannula
- 7. B · They may have neutropenic sepsis, which can quickly become fatal
- 8. A · At the bedside, with the patient and their wristband
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