1.やさしい
What is the normal fasting blood glucose range in a healthy adult?
- A11.1–15.0 mmol/L (about 200–270 mg/dL)
- B1.5–3.0 mmol/L (about 27–54 mg/dL)
- C3.9–5.5 mmol/L (about 70–100 mg/dL)
- D7.0–10.0 mmol/L (about 126–180 mg/dL)
2.やさしい
ジアゼパムなどのベンゾジアゼピン系薬は、どの神経伝達物質の作用を強めて働きますか?
- Aセロトニン
- BGABA
- Cノルアドレナリン
- Dグルタミン酸
3.やさしい
Which intramuscular site is generally preferred for adults because it is far from major nerves and vessels?
- ADorsogluteal
- BForearm
- CDeltoid for large volumes
- DVentrogluteal
4.ふつう
Which teaching about zolpidem is correct?
- ADrive soon after waking, as the drug has no next-day effect
- BTake it with alcohol to make it act faster
- CTake it in the morning so that it is out of the system by night
- DTake it right before bed, only if you can sleep a full night
5.ふつう
Which assessment is most important during IV mannitol therapy?
- ALiver enzymes and signs of jaundice
- BPlatelet count and signs of bleeding
- CBlood glucose before meals and signs of hypoglycaemia
- DUrine output, electrolytes and signs of fluid overload
6.ふつう
How should a patient store sublingual glyceryl trinitrate (nitroglycerin) tablets?
- AIn the fridge in a damp, open container to keep them fresh and cool
- BIn the original dark glass bottle, away from heat, light and moisture
- CLoose in a shirt pocket close to the body for quick access
- DIn a plastic weekly pill box with other tablets
7.むずかしい
A patient with myasthenia gravis took extra pyridostigmine doses. She now has increasing weakness, heavy salivation, sweating, small pupils and diarrhoea. What is the most likely cause?
- AAn allergic reaction to pyridostigmine
- BA stroke unrelated to the medication
- CMyasthenic crisis from too little anticholinesterase drug
- DCholinergic crisis from too much anticholinesterase drug
8.むずかしい
A noradrenaline infusion is running through a peripheral cannula. The skin around the site becomes pale, cold and hard. What should the nurse do?
- AIncrease the rate to improve blood flow to the area
- BLeave the infusion running and recheck in 4 hours
- CStop the infusion at that site and follow the extravasation protocol
- DApply heat and massage the area, then continue the infusion
解答
- 1. C · 3.9–5.5 mmol/L (about 70–100 mg/dL)
- 2. B · GABA
- 3. D · Ventrogluteal
- 4. D · Take it right before bed, only if you can sleep a full night
- 5. D · Urine output, electrolytes and signs of fluid overload
- 6. B · In the original dark glass bottle, away from heat, light and moisture
- 7. D · Cholinergic crisis from too much anticholinesterase drug
- 8. C · Stop the infusion at that site and follow the extravasation protocol
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