1.やさしい
Which medication is the first-line treatment for anaphylaxis?
- AAn inhaled corticosteroid
- BAn oral antihistamine
- CIntramuscular epinephrine
- DOral paracetamol (acetaminophen)
2.やさしい
Which statement about pulse oximetry is correct?
- AIt shows the patient’s blood glucose
- BCold fingers or nail polish can give an inaccurate reading
- CIt measures the carbon dioxide in the blood
- DThe reading is always correct, whatever finger or hand is used
3.やさしい
マズローの階層で、生理的欲求の直後にくる段階はどれですか?
- A自己実現の欲求
- B愛と所属の欲求
- C承認(尊重)の欲求
- D安全と安心の欲求
4.ふつう
An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?
- ADiphenhydramine
- BA warm milky drink
- CMelatonin
- DAcetaminophen (paracetamol)
5.ふつう
A nurse cannot read part of a medication order. What should the nurse do?
- AContact the prescriber to clarify the order before giving the drug
- BAsk another nurse to guess what the order most likely says, then give it
- CGive the usual dose of the drug the nurse thinks was meant
- DSkip the drug and not tell anyone until the next ward round
6.ふつう
A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?
- AAsk the roommate to stay in the room with him and help calm him down
- BTell him the voices are not real and leave him alone
- CIgnore the comment, because voices are part of his illness
- DKeep everyone safe and tell the team, as the risk of harm is high
7.むずかしい
A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?
- AAsk the family to help the patient drink while sitting upright in a chair at the bedside
- BCheck that a swallow screen has been done before giving anything by mouth
- CGive thickened fluids without checking the swallow
- DGive the water through a straw so it goes down slowly
8.むずかしい
Which finding after a laparoscopic cholecystectomy is expected and needs only reassurance and comfort measures?
- ARight shoulder pain from the gas used during surgery
- BIncreasing abdominal pain with a temperature of 39 °C
- CYellow skin with dark urine on the second day
- DA heart rate of 125/min with a falling blood pressure
解答
- 1. C · Intramuscular epinephrine
- 2. B · Cold fingers or nail polish can give an inaccurate reading
- 3. D · 安全と安心の欲求
- 4. A · Diphenhydramine
- 5. A · Contact the prescriber to clarify the order before giving the drug
- 6. D · Keep everyone safe and tell the team, as the risk of harm is high
- 7. B · Check that a swallow screen has been done before giving anything by mouth
- 8. A · Right shoulder pain from the gas used during surgery
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