1.やさしい
Which vaccine has made acute epiglottitis much less common in children?
- APneumococcal conjugate vaccine
- BMeasles–mumps–rubella (MMR) vaccine
- CHaemophilus influenzae type b (Hib) vaccine
- DRotavirus vaccine given by mouth
2.やさしい
What is the recommended chest compression rate during CPR on a child or infant?
- A140 to 160 per minute
- B60 to 80 per minute
- C100 to 120 per minute
- D30 to 40 per minute
3.やさしい
幼い子どものための後ろ向きチャイルドシートに関する一般的な助言はどれですか?
- Aすべての子どもで 6 か月になったらシートを前向きにする
- B体重にかかわらず、1 人で座れるようになったらすぐにシートを前向きにする
- C後ろ向きのシートが必要なのは新生児だけである
- Dそのシートの身長・体重の上限の範囲内で、できるだけ長く後ろ向きにしておく
4.ふつう
A 6-month-old's left eye turns inwards all the time. What should the nurse do?
- ACover the right eye with a patch at home without review
- BAdvise them to wait until the child can read letters
- CRefer the baby to an eye specialist
- DReassure the parents that this always resolves by school age
5.ふつう
Which finding suggests repeated self-induced vomiting?
- AYellow skin, itching and dark urine
- BCalluses on the knuckles and loss of tooth enamel
- CSwelling of the ankles and puffy eyes
- DA butterfly rash on the cheeks and patchy hair loss
6.ふつう
Which snack is safest for a 2-year-old?
- AWhole grapes from the fruit bowl
- BSmall pieces of soft cooked vegetables
- CA handful of whole peanuts
- DA small bowl of popcorn
7.むずかしい
Which phone call should the nurse return first?
- AA parent of a 3-year-old with a runny nose and a mild cough for 2 days
- BA parent of a 5-month-old who has had no wet nappy for 12 hours and is very sleepy
- CA parent asking when the next routine vaccines are due
- DA parent of a 7-year-old with a faint rash 3 days into antibiotics, breathing normally
8.むずかしい
In England, a 15-year-old asks a nurse for contraception and does not want her parents told. Which principle applies?
- AThe nurse must inform her parents and her school straight away
- BContraception may only be given once she reaches the age of 18
- CShe may consent herself if judged competent (Gillick and Fraser)
- DShe can never receive contraception without written consent from a parent
解答
- 1. C · Haemophilus influenzae type b (Hib) vaccine
- 2. C · 100 to 120 per minute
- 3. D · そのシートの身長・体重の上限の範囲内で、できるだけ長く後ろ向きにしておく
- 4. C · Refer the baby to an eye specialist
- 5. B · Calluses on the knuckles and loss of tooth enamel
- 6. B · Small pieces of soft cooked vegetables
- 7. B · A parent of a 5-month-old who has had no wet nappy for 12 hours and is very sleepy
- 8. C · She may consent herself if judged competent (Gillick and Fraser)
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