1.やさしい
Which drug reverses opioid-induced breathing depression?
- AGlucagon
- BNaloxone
- CAtropine
- DFlumazenil
2.やさしい
What is the main long-term complication of regular blood transfusions in beta-thalassaemia major?
- ALow blood calcium
- BLow platelet count
- CIron overload
- DVitamin B12 deficiency
3.やさしい
Which sign suggests heart failure in an infant?
- AFeeding eagerly and finishing every bottle quickly
- BA slow heart rate at rest
- CSlow breathing with long pauses
- DSweating and tiring during feeds
4.ふつう
A child with a known peanut allergy is starting school. What is the most important step?
- AA written allergy action plan, with in-date auto-injectors and trained staff
- BAsking the child to tell the teachers if she feels unwell
- CKeeping the auto-injector at home, so that it cannot be lost or misused by other children
- DAllowing the child to eat only foods brought by classmates
5.ふつう
What is the main purpose of medical play with a doll and real equipment before surgery?
- ATo teach the child how the surgeons will do the operation
- BTo test the child's intelligence
- CTo let the child express fears and gain a sense of control
- DTo keep the child busy so the nurse can do other work
6.ふつう
What should the nurse do before giving a dose of digoxin to an infant?
- ACount the radial pulse for 15 seconds and multiply by four
- BCount the apical pulse for a full minute and check it against the prescribed limits
- CMeasure the temperature and give the dose only if there is no fever
- DMeasure the blood pressure and give the dose only if it is above the normal range
7.むずかしい
The parent of a child on chemotherapy calls to say the child has a temperature of 38.5 °C (101.3 °F). What is the correct advice?
- AWait until the next clinic visit, as fever is common
- BGive a cool bath and keep the child at home
- CGive paracetamol (acetaminophen) and call back if the fever lasts more than 2 days
- DBring the child to hospital straight away for assessment and IV antibiotics
8.むずかしい
6 歳児が、扁桃摘出術後の痛みに対してコデインを処方されました。看護師はどうすべきですか?
- A誰にも言わずに、粉砕して子どものミルクに混ぜる
- B投与する前に、処方者に指示への疑義を確認する
- C弱いオピオイドなので、2 倍量を投与する
- Dコデインはすべての子どもで安全なので、投与する
解答
- 1. B · Naloxone
- 2. C · Iron overload
- 3. D · Sweating and tiring during feeds
- 4. A · A written allergy action plan, with in-date auto-injectors and trained staff
- 5. C · To let the child express fears and gain a sense of control
- 6. B · Count the apical pulse for a full minute and check it against the prescribed limits
- 7. D · Bring the child to hospital straight away for assessment and IV antibiotics
- 8. B · 投与する前に、処方者に指示への疑義を確認する
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