1.やさしい
プラセボとは何ですか?
- A試験で副作用を減らすために、通常の半分の用量で投与される薬
- Bプラセボ群でだけ効く薬
- C有効成分を含まないが、期待によって効果を生むことがある治療
- Dまだ承認されていない新薬
2.やさしい
What is the purpose of the Z-track technique for intramuscular injections?
- ATo make the injection faster
- BTo allow a larger volume to be given than with a standard injection
- CTo avoid the need to clean the skin
- DTo stop the drug leaking back into the subcutaneous tissue
3.やさしい
Mannitol is an osmotic diuretic used mainly to:
- APrevent blood clots
- BReduce raised intracranial pressure
- CTreat high blood pressure long term
- DRaise serum potassium
4.ふつう
Methylergometrine (methylergonovine) is prescribed for postpartum bleeding. Which finding would make the nurse withhold it and check with the prescriber?
- AHeart rate of 88 per minute
- BTemperature of 37.2 °C (99 °F)
- CBlood pressure of 160/105 mmHg
- DHaemoglobin slightly below normal
5.ふつう
Which group of signs suggests opioid withdrawal?
- AYawning, runny nose, sweating, dilated pupils and diarrhoea
- BConstipation, itching and a slow heart rate
- CPinpoint pupils, slow breathing and drowsiness
- DDry mouth, urinary retention, blurred vision and confusion
6.ふつう
Which patient should usually not receive a live vaccine?
- AA patient with mild seasonal allergies
- BA healthy adult nurse who works on a children's ward
- CA healthy 1-year-old child
- DA patient receiving chemotherapy for leukaemia
7.むずかしい
A patient receiving cisplatin is given large volumes of IV fluid before and after each dose. What is the main purpose?
- ATo increase drug absorption from the gut
- BTo prevent bleeding
- CTo prevent hair loss
- DTo reduce kidney damage
8.むずかしい
Why is vancomycin given by mouth, not intravenously, for Clostridioides difficile infection?
- AOral vancomycin is not absorbed, so it reaches high levels in the colon
- BIntravenous vancomycin causes C. difficile infection
- COral vancomycin is absorbed into the blood better than IV vancomycin
- DThe oral form is cheaper but has the same effect as IV
解答
- 1. C · 有効成分を含まないが、期待によって効果を生むことがある治療
- 2. D · To stop the drug leaking back into the subcutaneous tissue
- 3. B · Reduce raised intracranial pressure
- 4. C · Blood pressure of 160/105 mmHg
- 5. A · Yawning, runny nose, sweating, dilated pupils and diarrhoea
- 6. D · A patient receiving chemotherapy for leukaemia
- 7. D · To reduce kidney damage
- 8. A · Oral vancomycin is not absorbed, so it reaches high levels in the colon
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