1.やさしい
What is the most common cause of Down syndrome?
- AAn extra copy of chromosome 21 (trisomy 21)
- BInfection with rubella in early pregnancy
- CA missing X chromosome in a girl
- DA single gene inherited from both carrier parents
2.やさしい
安静時の健康な新生児の心拍数の範囲として典型的なのはどれですか?
- A約 200~260 回/分
- B約 60~100 回/分
- C約 110~160 回/分
- D約 70~110 回/分
3.やさしい
Which food is a good source of iron for a toddler?
- AApple juice with every meal
- BLarge amounts of cow's milk
- CPlain white rice and pasta
- DLean red meat or iron-fortified cereal
4.ふつう
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
- AContinue breastfeeding, and give oral rehydration solution as advised
- BGive diluted fruit juice instead of breast milk
- CStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
- DGive nothing by mouth for 24 hours
5.ふつう
When is airway clearance (chest physiotherapy) best done for a child with cystic fibrosis?
- AOnly on days when the child has a fever
- BBefore meals, or well after eating
- COnly at bedtime, lying flat after the evening meal
- DStraight after a large meal, when the child has more energy
6.ふつう
How can the nurse best support a child with autism on a children's ward?
- AKeep routines predictable, reduce noise and use visual schedules
- BPlace the child in the busiest bay near the nurses' station
- CChange the nurse each shift so the child meets more people
- DExplain all procedures only at the very last minute to avoid days of worry
7.むずかしい
An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?
- AListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
- BPromise to keep the secret, so that she keeps trusting the nurse and tells more later
- CAsk detailed, leading questions to find out exactly what happened
- DPhone the uncle straight away to ask for his side of the story before reporting anything
8.むずかしい
A 6-week-old is admitted with suspected pertussis. What is the main nursing concern?
- AApnoea and cyanosis during or after coughing spells
- BA rash spreading from the face to the trunk
- CConstipation from reduced feeding
- DHigh blood pressure from the coughing
解答
- 1. A · An extra copy of chromosome 21 (trisomy 21)
- 2. C · 約 110~160 回/分
- 3. D · Lean red meat or iron-fortified cereal
- 4. A · Continue breastfeeding, and give oral rehydration solution as advised
- 5. B · Before meals, or well after eating
- 6. A · Keep routines predictable, reduce noise and use visual schedules
- 7. A · Listen calmly, praise her for telling, explain it must be shared, and follow safeguarding
- 8. A · Apnoea and cyanosis during or after coughing spells
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