1.やさしい
What is the usual adult reference range for serum potassium?
- AAbout 1.5–2.5 mEq/L
- BAbout 6.0–8.0 mEq/L
- CAbout 3.5–5.0 mEq/L
- DAbout 135–145 mEq/L
2.やさしい
3 段階のトリアージ分類で、足首を捻挫し、バイタルサインが正常で軽い痛みのある患者は、通常どのように分類されますか?
- A緊急(救急)
- B準緊急(急ぐ)
- C緊急性なし(非緊急)
- D救命困難
3.やさしい
Which protective equipment is needed for droplet precautions?
- AA fitted N95 respirator at all times in the room
- BA surgical mask when close to the patient
- CA lead apron and goggles
- DGloves only, with no mask
4.ふつう
Two hours after birth, the nurse finds the uterus firm but above the umbilicus and pushed to the right. What should the nurse do first?
- AHelp the patient empty her bladder
- BMassage the uterus firmly for ten minutes
- CAsk the patient to lie still for another hour
- DGive a dose of oxytocin straight away
5.ふつう
A nasogastric tube has just been placed for feeding. What must happen before the first feed is given?
- AThe tube is flushed with a large volume of water
- BThe patient is asked if the tube feels comfortable
- CThe feed is started slowly to see if the patient coughs
- DPlacement is confirmed by an approved method
6.ふつう
Which two patients can most safely share a room?
- AA patient with influenza and a patient with COPD
- BA patient with chickenpox and a patient on chemotherapy
- CA patient with MRSA in a wound and a patient after surgery
- DTwo patients who both have C. difficile infection
7.むずかしい
A marathon runner is confused, with a temperature of 41 °C and hot skin. What is the priority?
- AWrapping the runner in a blanket to prevent shivering
- BGiving an antipyretic tablet and waiting for it to work
- CRapid cooling while supporting airway and circulation
- DAsking the runner to rest in the shade and drink slowly
8.むずかしい
A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?
- AWait until the mania settles before worrying about nutrition
- BInsist that the patient sits at the table until the meal is finished
- COffer high-calorie finger foods and drinks the patient can take while moving
- DLeave meals in the room and let the patient eat whenever and whatever they choose
解答
- 1. C · About 3.5–5.0 mEq/L
- 2. C · 緊急性なし(非緊急)
- 3. B · A surgical mask when close to the patient
- 4. A · Help the patient empty her bladder
- 5. D · Placement is confirmed by an approved method
- 6. D · Two patients who both have C. difficile infection
- 7. C · Rapid cooling while supporting airway and circulation
- 8. C · Offer high-calorie finger foods and drinks the patient can take while moving
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