1.やさしい
In which position is the patient's head lower than their feet?
- ALithotomy position
- BSemi-Fowler's position
- CTrendelenburg position
- DSims' position
2.やさしい
What does "dysuria" mean?
- APain or burning when passing urine
- BWaking at night to pass urine
- CBlood in the urine, making it pink
- DLeaking urine when coughing
3.やさしい
Which of these counts as a form of restraint?
- ANon-slip socks on the patient's feet
- BA call bell placed within reach of the patient's hand
- CBed rails raised to stop the patient getting out
- DA walking frame next to the bed
4.ふつう
What is the main purpose of a wound drain after surgery?
- ATo remove fluid or blood that could collect and delay healing
- BTo give antibiotics directly into the wound until it has fully healed
- CTo keep the wound edges apart until it heals
- DTo measure the temperature inside the wound
5.ふつう
Why should the same pain scale be used each time a patient's pain is assessed?
- ABecause only one scale is valid for adults
- BSo scores can be compared to see whether pain is improving
- CBecause using different pain scales on one patient is against the law
- DSo the patient learns the right answer to give
6.ふつう
How long should each pass of oropharyngeal or tracheal suction usually last?
- AAs long as secretions keep coming
- BNo more than about 10–15 seconds
- CAbout one minute
- DAbout 30–45 seconds
7.むずかしい
A patient with a valid DNACPR (DNR) decision, whose death was expected, stops breathing. What should the nurse do?
- ANot start CPR, note the time, inform the team and support the family
- BStart CPR and call the cardiac arrest team
- CStart CPR but stop after five minutes
- DLeave the patient and ask the family to wait outside until the doctor comes
8.むずかしい
Why is the level of sedation a useful early warning in a patient on opioids?
- ASedation means the opioid dose is too low
- BIncreasing sedation usually comes before respiratory depression
- CSedation shows that the pain has completely gone and the dose is right
- DSedation only occurs after the breathing has stopped
解答
- 1. C · Trendelenburg position
- 2. A · Pain or burning when passing urine
- 3. C · Bed rails raised to stop the patient getting out
- 4. A · To remove fluid or blood that could collect and delay healing
- 5. B · So scores can be compared to see whether pain is improving
- 6. B · No more than about 10–15 seconds
- 7. A · Not start CPR, note the time, inform the team and support the family
- 8. B · Increasing sedation usually comes before respiratory depression
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