1.やさしい
What do Tanner stages describe?
- AThe stages of physical development during puberty
- BThe stages of language development in infancy
- CThe stages of moral reasoning in children
- DThe stages of grief that families go through after a death
2.やさしい
How deep should chest compressions be during CPR on a child?
- AJust enough to see the chest move slightly
- BAbout one tenth of the depth of the chest
- CAs deep as possible, until the ribs can be felt to give
- DAt least one third of the depth of the chest
3.やさしい
Why are children with spina bifida often cared for with latex-free equipment?
- ALatex damages the skin over the spine
- BThey have a high risk of latex allergy
- CLatex causes neural tube defects
- DLatex particles can block the shunt in the brain
4.ふつう
A child with suspected measles is admitted. Which precaution is most important?
- AAirborne precautions, ideally in a negative-pressure room
- BDroplet precautions in a shared bay
- CNo special precautions once the rash appears
- DContact precautions only, with gloves
5.ふつう
After a cardiac catheterisation through the femoral artery, which assessment is essential?
- APupil size and reaction every 15 minutes
- BPulse, colour, warmth and sensation of the leg below the puncture site
- CBowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
- DUrine specific gravity at every void
6.ふつう
Which group of findings suggests Kawasaki disease?
- ALow-grade fever, a barking cough and stridor that are worse at night
- BHigh fever for 3 days, then a pink rash as the fever settles
- CFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
- DFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
7.むずかしい
A 25 kg child needs maintenance IV fluids. Using the 100–50–20 rule, what is the hourly rate?
- AAbout 25 mL per hour
- BAbout 67 mL per hour
- CAbout 104 mL per hour
- DAbout 50 mL per hour
8.むずかしい
A child with eczema suddenly develops clusters of painful, punched-out blisters and erosions with a fever. What should the nurse suspect?
- AChickenpox, which is mild and needs no specific treatment
- BA normal eczema flare that needs more emollient
- CAn allergic reaction to the emollient
- DEczema herpeticum, which needs urgent antiviral treatment
解答
- 1. A · The stages of physical development during puberty
- 2. D · At least one third of the depth of the chest
- 3. B · They have a high risk of latex allergy
- 4. A · Airborne precautions, ideally in a negative-pressure room
- 5. B · Pulse, colour, warmth and sensation of the leg below the puncture site
- 6. D · Fever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- 7. B · About 67 mL per hour
- 8. D · Eczema herpeticum, which needs urgent antiviral treatment
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