1.やさしい
An adult arrives at the emergency department with chest pain. Which test should be done within about 10 minutes of arrival?
- AA 12-lead ECG
- BA chest CT scan
- CAn exercise stress test
- DA lipid profile
2.やさしい
Which single action is the most effective way to prevent the spread of infection in hospital?
- AKeeping the windows closed
- BGiving every patient antibiotics
- CHand hygiene
- DWearing a mask all day
3.やさしい
Which capillary refill time is prolonged in an adult?
- ALess than 1 second
- B2 seconds
- C1 second
- D4 seconds
4.ふつう
Which postoperative patient should the nurse see first?
- AWants help with washing her hair before her visitors arrive this afternoon
- BAsking when the urinary catheter will be removed
- CPain of 4/10 one hour after an oral analgesic
- DDressing soaked with bright red blood and a heart rate rising to 118/min
5.ふつう
A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?
- A“I will keep my child home from school and away from others while unwell.”
- B“I will call if my child has trouble breathing.”
- C“I will give my child plenty of fluids.”
- D“I will give my child aspirin to bring the fever down.”
6.ふつう
A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?
- APlacement is confirmed by an approved method
- BThe feed is started slowly to see if the patient coughs
- CThe tube is flushed with a large volume of water
- DThe patient is asked if the tube feels comfortable
7.むずかしい
A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?
- ANormal pain after a fracture
- BFat embolism syndrome
- CAlcohol withdrawal
- DAn allergic reaction to the cast
8.むずかしい
Which patient with cirrhosis should the nurse see first?
- AWants to talk about stopping drinking alcohol for good
- BVomiting bright red blood, heart rate 120/min
- CLong-standing jaundice and itchy skin, asking for cream
- DLarge ascites that is unchanged from yesterday
解答
- 1. A · A 12-lead ECG
- 2. C · Hand hygiene
- 3. D · 4 seconds
- 4. D · Dressing soaked with bright red blood and a heart rate rising to 118/min
- 5. D · “I will give my child aspirin to bring the fever down.”
- 6. A · Placement is confirmed by an approved method
- 7. B · Fat embolism syndrome
- 8. B · Vomiting bright red blood, heart rate 120/min
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