1.やさしい
Why is vitamin K given to newborns shortly after birth?
- ATo prevent vitamin K deficiency bleeding
- BTo protect against hepatitis B infection
- CTo prevent bacterial eye infection after birth
- DTo prevent jaundice in the first week of life
2.やさしい
入院中の幼児にとって、通常最も大きなストレス因子は何ですか?
- A外見の変化
- B学校を休むこと
- C死への恐れ
- D親との分離
3.やさしい
Which simple test is used to screen for scoliosis?
- ABabinski test
- BAdams forward bend test
- CRomberg test with the eyes closed
- DOrtolani test
4.ふつう
The parents of a 2-year-old worry that she eats much less than she did as a baby. She is growing along her centile. What should the nurse advise?
- AAppetite falls as growth slows; offer small, healthy portions without pressure
- BEncourage her to finish every meal, even if this takes a long time at the table
- CThis is a sign of illness and she needs blood tests
- DGive extra bottles of milk to make up for the meals she refuses
5.ふつう
Which finding is an early sign of shock in a child?
- AA fast heart rate with a prolonged capillary refill
- BLow blood pressure with a slow heart rate and pauses in breathing
- CA warm, flushed child with a strong, bounding pulse
- DSlow, deep breathing with a normal heart rate
6.ふつう
A child with suspected appendicitis is waiting for surgery. Which action must the nurse avoid?
- AGiving IV fluids as prescribed
- BRegular pain assessment
- CKeeping the child nil by mouth
- DPutting a heat pad on the abdomen
7.むずかしい
A 3-year-old says the IV pump "is angry" when it beeps. Which feature of thinking does this show?
- AObject permanence, typical of the sensorimotor stage
- BConservation, typical of concrete operations
- CAbstract reasoning, typical of formal operations
- DAnimism, typical of preoperational thinking
8.むずかしい
The safe dose range of a drug is 25–50 mg/kg per day, divided every 8 hours. A 12 kg child is prescribed 250 mg every 8 hours. What should the nurse do?
- AGive half the dose and inform the prescriber at the next round
- BGive the dose, because the minimum safe daily dose is 300 mg
- CGive the dose, because 250 mg is within the range for a single dose
- DContact the prescriber, because 750 mg a day is above the maximum of 600 mg
解答
- 1. A · To prevent vitamin K deficiency bleeding
- 2. D · 親との分離
- 3. B · Adams forward bend test
- 4. A · Appetite falls as growth slows; offer small, healthy portions without pressure
- 5. A · A fast heart rate with a prolonged capillary refill
- 6. D · Putting a heat pad on the abdomen
- 7. D · Animism, typical of preoperational thinking
- 8. D · Contact the prescriber, because 750 mg a day is above the maximum of 600 mg
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