1.やさしい
What is the most serious complication of Kawasaki disease?
- ADiabetes mellitus
- BKidney failure needing dialysis
- CCoronary artery aneurysms
- DPermanent hearing loss
2.やさしい
Which symptom is typical of scabies?
- AIntense itching, worse at night, with burrows between the fingers
- BPainless red patches that slowly spread outward over months
- CDry, flaky scalp with dandruff but no itching
- DLarge blisters on the soles of the feet after walking
3.やさしい
Which sweetener must children with phenylketonuria (PKU) avoid?
- ASucrose
- BGlucose
- CFructose
- DAspartame
4.ふつう
A 6-year-old with a life-limiting illness asks the nurse, "Am I going to die?" What is the best response?
- ATell the child firmly that this will not happen
- BFind out what prompted the question, then answer honestly and simply, with the family
- CTell the child that only the doctor is allowed to talk about this subject with children
- DChange the subject quickly so the child is not upset
5.ふつう
10 か月児の成長曲線の所見のうち、さらなる評価が最も必要なものはどれですか?
- A頭囲が 75 パーセンタイル曲線に沿っている
- B前回までの健診から、体重が 2 本の主要なパーセンタイル線を横切って下がった
- C出生時から体重が 10 パーセンタイルにとどまっている
- D身長が 50 パーセンタイル、体重が 40 パーセンタイル
6.ふつう
学童の喘息の子どもが、毎日吸入ステロイド薬を使っています。看護師は何を指導すべきですか?
- A毎回の使用後に口をすすぎ、スペーサーを使う
- B粉を水で飲み込む
- C喘息発作のときだけ使う
- D症状が良くなったらすぐにやめる
7.むずかしい
A baby born at 27 weeks has grunting, chest retractions and rising oxygen needs. Which treatment directly addresses the cause?
- AOral glucose gel rubbed into the gums
- BIV antibiotics for 7 days
- CSurfactant given into the trachea
- DPhototherapy
8.むずかしい
An 18-month-old with gastroenteritis has a heart rate of 170/min, a capillary refill time of 4 seconds and cool hands and feet. Her blood pressure is normal. What does this indicate?
- AShock is unlikely while the blood pressure is normal
- BNormal findings in a toddler who is upset
- CCompensated shock that needs urgent treatment
- DMild dehydration that only needs a drink
解答
- 1. C · Coronary artery aneurysms
- 2. A · Intense itching, worse at night, with burrows between the fingers
- 3. D · Aspartame
- 4. B · Find out what prompted the question, then answer honestly and simply, with the family
- 5. B · 前回までの健診から、体重が 2 本の主要なパーセンタイル線を横切って下がった
- 6. A · 毎回の使用後に口をすすぎ、スペーサーを使う
- 7. C · Surfactant given into the trachea
- 8. C · Compensated shock that needs urgent treatment
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