1.やさしい
Which vaccine has made acute epiglottitis much less common in children?
- ARotavirus vaccine given by mouth
- BPneumococcal conjugate vaccine
- CHaemophilus influenzae type b (Hib) vaccine
- DMeasles–mumps–rubella (MMR) vaccine
2.やさしい
Bedwetting at night is usually not considered a problem needing treatment until about what age?
- AAbout 2 years
- BAbout 14 years
- CAbout 10 years
- DAbout 5 years
3.やさしい
Which factors increase the risk of retinopathy of prematurity?
- ABeing born after 42 weeks with a large birth weight
- BPhototherapy for jaundice given without the use of eye shields
- CBeing born by caesarean section at term
- DVery preterm birth and exposure to high oxygen levels
4.ふつう
A child with suspected appendicitis is waiting for surgery. Which action must the nurse avoid?
- AGiving IV fluids as prescribed
- BPutting a heat pad on the abdomen
- CKeeping the child nil by mouth
- DRegular pain assessment
5.ふつう
Why do young children with sickle cell disease usually take daily penicillin?
- ASickle cells make the child allergic to most other antibiotics
- BPoor spleen function puts them at high risk of pneumococcal infection
- CPenicillin stops red cells from changing shape
- DPenicillin prevents pain crises in cold weather
6.ふつう
A 15-year-old seems very low in mood. Is it safe for the nurse to ask directly about suicidal thoughts?
- ANo; only a psychiatrist is allowed to ask this question
- BNo; asking about suicide may put the idea into the young person's head and raise the risk
- CYes; asking directly does not increase the risk and helps find those who need help
- DOnly if the parents give written permission first
7.むずかしい
子どもに塩化カリウムを静脈内投与しています。看護師は、留置針の刺入部が腫れて蒼白になり、子どもが泣いているのに気づきました。看護師が最初にすべきことは何ですか?
- A早く終わらせるために点滴速度を上げる
- B刺入部をきつい包帯で覆う
- C子どもを安心させて点滴を続ける
- D点滴を止めて、刺入部をアセスメントする
8.むずかしい
Why does a child with juvenile idiopathic arthritis need regular eye examinations?
- AEye checks are only needed if the child already wears glasses for short sight
- BArthritis drugs always cause cataracts within a year
- CThe joints of the eye socket are affected by arthritis
- DUveitis can develop without symptoms and damage vision
解答
- 1. C · Haemophilus influenzae type b (Hib) vaccine
- 2. D · About 5 years
- 3. D · Very preterm birth and exposure to high oxygen levels
- 4. B · Putting a heat pad on the abdomen
- 5. B · Poor spleen function puts them at high risk of pneumococcal infection
- 6. C · Yes; asking directly does not increase the risk and helps find those who need help
- 7. D · 点滴を止めて、刺入部をアセスメントする
- 8. D · Uveitis can develop without symptoms and damage vision
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