1.やさしい
Which axillary temperature range is normal for a newborn?
- AAbout 37.8 to 38.5 °C (100.0 to 101.3 °F)
- BAbout 35.0 to 36.0 °C (95.0 to 96.8 °F)
- CAbout 34.0 to 35.0 °C (93.2 to 95.0 °F)
- DAbout 36.5 to 37.5 °C (97.7 to 99.5 °F)
2.やさしい
What is the recommended chest compression rate during CPR on a child or infant?
- A60 to 80 per minute
- B30 to 40 per minute
- C100 to 120 per minute
- D140 to 160 per minute
3.やさしい
Which measure helps an infant with a cleft palate to feed?
- AThickening every feed with baby cereal from birth onwards to slow the milk
- BFeeding lying flat to let gravity move the milk along
- CFeeding only through a nasogastric tube until school age
- DA special bottle or teat, an upright position and frequent burping
4.ふつう
Which stool pattern is typical of Hirschsprung disease in an older child?
- APale, bulky, fatty stools that float and are hard to flush, with a large appetite
- BNormal stools with occasional itching around the anus at night
- CChronic constipation with thin, ribbon-like, foul-smelling stools and distension
- DFrequent bloody diarrhoea with fever after eating chicken
5.ふつう
What should the nurse do before giving a dose of digoxin to an infant?
- AMeasure the blood pressure and give the dose only if it is above the normal range
- BCount the apical pulse for a full minute and check it against the prescribed limits
- CCount the radial pulse for 15 seconds and multiply by four
- DMeasure the temperature and give the dose only if there is no fever
6.ふつう
Why should a child with rubella avoid contact with pregnant women?
- ARubella causes pregnant women to go into labour early
- BThe child may catch a pregnancy-related infection
- CPregnant women always develop severe pneumonia if they catch rubella
- DRubella in early pregnancy can cause serious birth defects
7.むずかしい
The nurse has taught the parents of a child with sickle cell disease. Which statement shows a need for further teaching?
- A"We'll learn how to feel her tummy for an enlarged spleen."
- B"In summer she can drink less so she doesn't need the toilet at school."
- C"We'll call the hospital straight away if she has a fever."
- D"We'll dress her warmly before she goes out in cold weather."
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 the dose, because the minimum safe daily dose is 300 mg
- BGive half the dose and inform the prescriber at the next round
- 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. D · About 36.5 to 37.5 °C (97.7 to 99.5 °F)
- 2. C · 100 to 120 per minute
- 3. D · A special bottle or teat, an upright position and frequent burping
- 4. C · Chronic constipation with thin, ribbon-like, foul-smelling stools and distension
- 5. B · Count the apical pulse for a full minute and check it against the prescribed limits
- 6. D · Rubella in early pregnancy can cause serious birth defects
- 7. B · "In summer she can drink less so she doesn't need the toilet at school."
- 8. D · Contact the prescriber, because 750 mg a day is above the maximum of 600 mg
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