1.やさしい
Which transmission-based precautions are used for a hospitalised child with chickenpox?
- ADroplet precautions only, in a shared bay
- BStandard precautions only
- CAirborne and contact precautions
- DContact precautions only
2.やさしい
クループに典型的な症状はどれですか?
- A咳込みのあとの「ヒュー」という吸気音
- Bよだれと嚥下困難
- C犬が吠えるような(アシカの鳴き声のような)咳
- D息を吐くときだけの喘鳴
3.やさしい
Which sign may be the first clue to retinoblastoma in a young child?
- ATears running down the cheek on one side
- BA white pupil in photos instead of the usual red reflex
- CA droopy upper eyelid that appears after a cold
- DRed, itchy eyes with a sticky yellow discharge
4.ふつう
Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?
- AChronic diarrhoea, a swollen abdomen, irritability and poor weight gain
- BSudden projectile vomiting with a palpable olive-shaped mass
- CHigh fever with a stiff neck and a purple rash
- DEpisodes of crying with red-currant jelly stools
5.ふつう
Which advice is first-line for a school-age child with functional constipation?
- AAvoiding the toilet at school until the problem has settled
- BMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
- CDaily enemas given at home by the parents for several months, without other changes
- DCutting out all fruit and vegetables to soften the stools
6.ふつう
看護師は 4 歳児を処置にどのように備えさせるべきですか?
- A内臓の図を見せる
- B1 週間前に詳しく説明する
- C直前に簡単な言葉で短く説明し、子どもに器具を触らせたり、人形で遊ばせたりする
- D怖がらせないよう、何も説明しない
7.むずかしい
A toddler weighed 10 kg before 2 days of diarrhoea and now weighs 9.5 kg. How much has he lost?
- A50 g, about 0.5% of his body weight
- B500 g, about 5% of his body weight, mostly fluid
- C1 kg, about 10% of his body weight
- D500 g, about 50% of his body weight
8.むずかしい
子どもに塩化カリウムを静脈内投与しています。看護師は、留置針の刺入部が腫れて蒼白になり、子どもが泣いているのに気づきました。看護師が最初にすべきことは何ですか?
- A点滴を止めて、刺入部をアセスメントする
- B刺入部をきつい包帯で覆う
- C早く終わらせるために点滴速度を上げる
- D子どもを安心させて点滴を続ける
解答
- 1. C · Airborne and contact precautions
- 2. C · 犬が吠えるような(アシカの鳴き声のような)咳
- 3. B · A white pupil in photos instead of the usual red reflex
- 4. A · Chronic diarrhoea, a swollen abdomen, irritability and poor weight gain
- 5. B · More fibre and fluids, a regular toilet time after meals and laxatives if prescribed
- 6. C · 直前に簡単な言葉で短く説明し、子どもに器具を触らせたり、人形で遊ばせたりする
- 7. B · 500 g, about 5% of his body weight, mostly fluid
- 8. A · 点滴を止めて、刺入部をアセスメントする
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