1.やさしい
When is the Apgar score usually assessed?
- AOnly at 24 hours after birth
- BAt 1 and 5 minutes after birth
- CAt the first postnatal clinic visit
- DBefore the baby is born
2.やさしい
Which resting heart rate in an adult is bradycardia?
- A64/min
- B46/min
- C88/min
- D72/min
3.やさしい
Which serum sodium value is within the normal adult range?
- A128 mEq/L (128 mmol/L)
- B140 mEq/L (140 mmol/L)
- C152 mEq/L (152 mmol/L)
- D120 mEq/L (120 mmol/L)
4.ふつう
A patient with a head injury is being monitored. Which set of findings suggests rising intracranial pressure?
- AFalling blood pressure, a fast pulse and warm, flushed dry skin
- BRising systolic pressure, slow pulse and irregular breathing
- CNormal blood pressure, normal pulse and clear speech
- DLow temperature, fast breathing and a strong appetite
5.ふつう
A patient on hemodialysis has an arteriovenous fistula in the left arm. Which instruction should the nurse give the nursing assistant?
- AHelp the patient carry shopping bags on the left arm
- BMeasure blood pressure on the left arm only, every 4 hours
- CDo not measure blood pressure on the left arm
- DKeep the left arm wrapped tightly in a bandage at night
6.ふつう
A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?
- AIrrigating the tube when it blocks
- BAssessing the drainage for blood
- CChecking the tube’s position
- DGiving mouth care
7.むずかしい
A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?
- AAn ordinary pain crisis that will improve with rest
- BAcute chest syndrome, which needs urgent escalation and oxygen
- CAnxiety that will settle with reassurance
- DA minor chest infection that can safely wait until the morning round
8.むずかしい
An infant is choking and cannot cry or breathe. Which technique is correct?
- AHolding the infant upside down by the feet
- BA blind finger sweep of the mouth
- CAbdominal thrusts, as in adults
- DBack blows and chest thrusts
解答
- 1. B · At 1 and 5 minutes after birth
- 2. B · 46/min
- 3. B · 140 mEq/L (140 mmol/L)
- 4. B · Rising systolic pressure, slow pulse and irregular breathing
- 5. C · Do not measure blood pressure on the left arm
- 6. D · Giving mouth care
- 7. B · Acute chest syndrome, which needs urgent escalation and oxygen
- 8. D · Back blows and chest thrusts
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