1.やさしい
Which of these is an example of primary prevention?
- ARehabilitation after a stroke
- BVaccinating children against measles
- CScreening women for breast cancer
- DTreating a patient for pneumonia
2.やさしい
What is an incident report used for?
- AOrdering equipment for the ward
- BRecording the patient's daily observations and fluid balance
- CRecording an event that caused or could have caused harm
- DRecording staff holiday requests
3.やさしい
Which of these is a non-drug method of pain relief?
- AAn anti-inflammatory gel
- BDistraction, for example with music
- CA morphine injection
- DA paracetamol (acetaminophen) tablet
4.ふつう
A patient has just finished a glass of iced water. How should this affect taking an oral temperature?
- AAdd half a degree to the reading to correct for the drink
- BUse the reading but only if the patient says they feel warm
- CWait about 15–30 minutes, as the reading may be falsely low
- DTake it straight away, as cold drinks do not affect the mouth
5.ふつう
患者の状態が悪化するとき、最初に現れることが多い警告サインは?
- A心拍数の低下
- B呼吸数の増加
- C体温の低下
- D食欲の改善
6.ふつう
Which care best protects the skin of a patient with frequent urinary incontinence?
- AGentle cleansing after each episode and a barrier product
- BApplying talcum powder thickly after each episode
- CScrubbing the area with soap and hot water twice a day
- DLeaving the skin wet so it does not dry out
7.むずかしい
Three days after abdominal surgery, a patient coughs and the wound opens with bowel visible. What should the nurse do first?
- ACover it with sterile saline-soaked dressings and call for urgent help
- BLeave the wound uncovered so the surgeon can see it
- CPush the bowel gently back into the abdomen, then apply a firm bandage over it
- DSit the patient fully upright and ask them to cough again
8.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 timing does not matter as long as the full daily total is given
- CLate doses can cause severe stiffness, falls and swallowing problems
- DThe drug becomes poisonous if it is given late
解答
- 1. B · Vaccinating children against measles
- 2. C · Recording an event that caused or could have caused harm
- 3. B · Distraction, for example with music
- 4. C · Wait about 15–30 minutes, as the reading may be falsely low
- 5. B · 呼吸数の増加
- 6. A · Gentle cleansing after each episode and a barrier product
- 7. A · Cover it with sterile saline-soaked dressings and call for urgent help
- 8. C · Late doses can cause severe stiffness, falls and swallowing problems
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