1.やさしい
Which symptoms are classic signs of digoxin toxicity?
- ANausea, poor appetite and yellow-green visual halos
- BHair loss and weight gain
- CHigh blood sugar and increased thirst
- DA rash, high fever and swollen lymph nodes in the neck
2.やさしい
In the ABC framework, which finding is mainly a breathing problem?
- AStridor caused by a swollen throat
- BA blood glucose of 60 mg/dL (3.3 mmol/L)
- CShallow breaths with an SpO₂ of 85% on room air
- DHeart rate 150/min with a low blood pressure and cold skin
3.やさしい
Which type of stroke is the most common?
- ASubarachnoid hemorrhage
- BVenous sinus thrombosis
- CIschemic stroke
- DHemorrhagic stroke
4.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 give my child aspirin to bring the fever down.”
- B“I will give my child plenty of fluids.”
- C“I will keep my child home from school and away from others while unwell.”
- D“I will call if my child has trouble breathing.”
5.ふつう
A nurse takes a telephone order from a provider. What must the nurse do?
- AAsk the ward clerk to take the order on the nurse’s behalf instead
- BRemember the order and write it in the chart at the end of the shift
- CWrite the order down and read it back to the provider to confirm it
- DCarry out the order first and ask the provider to confirm it later
6.ふつう
A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?
- AGive a drink of water
- BGive an oral anti-sickness tablet
- CRaise the legs above the heart
- DTurn the patient onto their side
7.むずかしい
A nurse returns to the station to find four messages. Which one is answered first?
- AA family member wants an update on their father’s progress
- BA colleague asks to swap shifts with them next week because of a family wedding
- CThe pharmacy asks when the next delivery should be scheduled
- DThe laboratory is calling with a critical potassium result of 2.6 mEq/L
8.むずかしい
A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?
- ARapid cooling while supporting airway and circulation
- BWrapping the runner in a blanket to prevent shivering
- CGiving an antipyretic tablet and waiting for it to work
- DAsking the runner to rest in the shade and drink slowly
解答
- 1. A · Nausea, poor appetite and yellow-green visual halos
- 2. C · Shallow breaths with an SpO₂ of 85% on room air
- 3. C · Ischemic stroke
- 4. A · “I will give my child aspirin to bring the fever down.”
- 5. C · Write the order down and read it back to the provider to confirm it
- 6. D · Turn the patient onto their side
- 7. D · The laboratory is calling with a critical potassium result of 2.6 mEq/L
- 8. A · Rapid cooling while supporting airway and circulation
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。