1.やさしい
What is the main purpose of a rapid response team?
- ATo transport stable patients between hospital units
- BTo review medication errors and falls after they have happened on the unit
- CTo assess and treat a deteriorating patient before an arrest happens
- DTo handle complaints from patients and families
2.やさしい
Which symptoms are classic signs of digoxin toxicity?
- AHigh blood sugar and increased thirst
- BHair loss and weight gain
- CNausea, poor appetite and yellow-green visual halos
- DA rash, high fever and swollen lymph nodes in the neck
3.やさしい
In the ABC framework, which finding is mainly a breathing problem?
- AA blood glucose of 60 mg/dL (3.3 mmol/L)
- BStridor caused by a swollen throat
- CShallow breaths with an SpO₂ of 85% on room air
- DHeart rate 150/min with a low blood pressure and cold skin
4.ふつう
Which newborn finding needs prompt reporting?
- ABluish hands and feet in the first hours
- BMilia (small white spots) on the nose
- CMild jaundice that first appears on the third day
- DJaundice that appears within the first 24 hours
5.ふつう
A nurse needs to give report on a patient to a colleague. Which information is the most important to include?
- ADetails of the nurse’s own break times that shift
- BThe patient’s favorite television programs and hobbies
- CThe patient’s current condition, recent changes and pending tasks
- DPersonal opinions about the patient’s family members and their visiting habits
6.ふつう
START 法のトリアージで、歩けない成人が 1 分間に 36 回呼吸しています。どの区分になりますか?
- A赤(最優先)
- B緑(軽症)
- C黒(救命困難)
- D黄(待機可能)
7.むずかしい
Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?
- AAcute kidney injury with no urine made
- BDehydration from fasting before surgery
- CA normal effect of the anesthetic
- DUrinary retention
8.むずかしい
A patient with anorexia nervosa is admitted. Which finding is the priority?
- AHeart rate 38/min and potassium 2.8 mEq/L
- BHas fine, downy hair on her arms
- CRefuses to eat in front of other people
- DSays she feels fat although she is very thin
解答
- 1. C · To assess and treat a deteriorating patient before an arrest happens
- 2. C · Nausea, poor appetite and yellow-green visual halos
- 3. C · Shallow breaths with an SpO₂ of 85% on room air
- 4. D · Jaundice that appears within the first 24 hours
- 5. C · The patient’s current condition, recent changes and pending tasks
- 6. A · 赤(最優先)
- 7. D · Urinary retention
- 8. A · Heart rate 38/min and potassium 2.8 mEq/L
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