1.やさしい
非侵襲的ケア(アトラウマティックケア)の考え方では、採血などの痛みを伴う処置はどこで行うべきですか?
- A他の子どもの前の待合室
- B子どもが動かなくて済むように子どものベッド
- C子どもがリラックスできるようにプレイルーム
- D子どものベッドではなく、処置室
2.やさしい
Which symptom is typical of threadworm (pinworm) infection in a child?
- AVomiting after every meal for a week, with weight loss
- BA high fever with bloody diarrhoea
- CItching around the anus, especially at night
- DA red, ring-shaped rash on the scalp
3.やさしい
Which simple test is used to screen for scoliosis?
- ARomberg test with the eyes closed
- BOrtolani test
- CAdams forward bend test
- DBabinski test
4.ふつう
Why are IV fluids for young children given with an infusion pump or a volume-control set?
- ATo prevent accidental fluid overload
- BTo remove bacteria from the fluid
- CTo make the fluid warmer before it enters the vein
- DTo allow the child to adjust the rate
5.ふつう
Which signs suggest digoxin toxicity in a child?
- ANausea, vomiting, poor feeding and a slow heart rate
- BIncreased appetite, extra energy and rapid weight gain over a few days
- CHigh fever with a spreading red rash
- DFast heart rate with high blood pressure
6.ふつう
Which finding suggests repeated self-induced vomiting?
- ASwelling of the ankles and puffy eyes
- BYellow skin, itching and dark urine
- CA butterfly rash on the cheeks and patchy hair loss
- DCalluses on the knuckles and loss of tooth enamel
7.むずかしい
The nurse has taught the parents of a child with epilepsy. Which statement shows a need for further teaching?
- A"I'll time the seizure and give the rescue medicine if it lasts too long."
- B"When the jerking stops, I'll turn him onto his side."
- C"I'll put a spoon in his mouth so he doesn't bite or swallow his tongue."
- D"I'll move hard objects away and put something soft under his head."
8.むずかしい
A sexually active 17-year-old has no symptoms and asks why chlamydia testing is offered. What is the best answer?
- ATesting is required by law before any young person can see a nurse or doctor for any reason
- BChlamydia can only be caught from shared towels and toilet seats
- CChlamydia always causes severe pain, so testing is only a formality
- DChlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
解答
- 1. D · 子どものベッドではなく、処置室
- 2. C · Itching around the anus, especially at night
- 3. C · Adams forward bend test
- 4. A · To prevent accidental fluid overload
- 5. A · Nausea, vomiting, poor feeding and a slow heart rate
- 6. D · Calluses on the knuckles and loss of tooth enamel
- 7. C · "I'll put a spoon in his mouth so he doesn't bite or swallow his tongue."
- 8. D · Chlamydia often causes no symptoms but can lead to pelvic inflammatory disease and infertility
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