1.やさしい
Which effect is common and harmless with oral iron tablets?
- AYellow discoloration of the eyes
- BBlue tint to the lips
- CDark or black stools
- DRed-coloured urine
2.やさしい
Why is anti-D immunoglobulin given to an Rh-negative mother?
- ATo treat anaemia in the newborn
- BTo stop her forming anti-D antibodies against Rh-positive fetal cells
- CTo speed up labour
- DTo make her own blood group Rh-positive before the next pregnancy
3.やさしい
Stimulation of which receptor increases heart rate and the force of contraction?
- AAlpha-2 adrenergic receptor
- BBeta-1 adrenergic receptor
- CBeta-2 adrenergic receptor
- DMuscarinic M2 receptor
4.ふつう
Which approach is usually recommended to prevent constipation in a patient on regular opioids?
- ABulk-forming fibre alone, with fluid intake restricted
- BA stimulant laxative such as senna, often with a stool softener
- CAn antidiarrhoeal drug at night to slow the gut
- DNo laxative until the patient has not opened the bowels for a week
5.ふつう
メトホルミンは主にどのように血糖を下げますか?
- A膵臓からのインスリン分泌を刺激する
- B肝臓でのブドウ糖産生を減らす
- C不足したインスリンを補う
- D腎臓でのブドウ糖の吸収を遮断する
6.ふつう
Which assessment is most important during IV mannitol therapy?
- APlatelet count and signs of bleeding
- BBlood glucose before meals and signs of hypoglycaemia
- CUrine output, electrolytes and signs of fluid overload
- DLiver enzymes and signs of jaundice
7.むずかしい
A patient on stable warfarin is prescribed a course of metronidazole. What is the likely effect, and what should the nurse expect?
- AThe INR rises, so closer INR monitoring is needed
- BMetronidazole replaces warfarin, so warfarin is stopped
- CThe INR falls, so the risk of clotting increases
- DThe INR stays the same, as these drugs do not interact
8.むずかしい
A nurse gives 2 mg from a 4 mg ampoule of morphine. What should happen to the remaining 2 mg?
- AIt is kept labelled in the patient's drawer for the next dose
- BIt is discarded in front of a witness, and both sign the record
- CIt is given to the next patient who needs morphine
- DIt is poured down the sink without telling anyone
解答
- 1. C · Dark or black stools
- 2. B · To stop her forming anti-D antibodies against Rh-positive fetal cells
- 3. B · Beta-1 adrenergic receptor
- 4. B · A stimulant laxative such as senna, often with a stool softener
- 5. B · 肝臓でのブドウ糖産生を減らす
- 6. C · Urine output, electrolytes and signs of fluid overload
- 7. A · The INR rises, so closer INR monitoring is needed
- 8. B · It is discarded in front of a witness, and both sign the record
ステップごとの詳しい解答:このトピックは examproblems.com で練習できます。