1.やさしい
What is the most serious complication of Kawasaki disease?
- ADiabetes mellitus
- BPermanent hearing loss
- CKidney failure needing dialysis
- DCoronary artery aneurysms
2.やさしい
Which food is a good source of iron for a toddler?
- ALarge amounts of cow's milk
- BLean red meat or iron-fortified cereal
- CApple juice with every meal
- DPlain white rice and pasta
3.やさしい
Which signs suggest a urinary tract infection in an infant?
- AFever, poor feeding, vomiting and irritability
- BA clear runny nose and a mild cough
- CClear complaints of burning and stinging when passing urine
- DPain in the lower back that the baby points to
4.ふつう
Why are IV fluids for young children given with an infusion pump or a volume-control set?
- ATo allow the child to adjust the rate
- BTo prevent accidental fluid overload
- CTo remove bacteria from the fluid
- DTo make the fluid warmer before it enters the vein
5.ふつう
A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?
- AA hard toothbrush and lemon–glycerine swabs to clean the ulcers
- BA soft toothbrush or sponge, bland rinses and soft, cool foods
- CMouthwash containing alcohol several times a day
- DSpicy and acidic foods to stimulate saliva flow
6.ふつう
脊髄髄膜瘤の手術前に、新生児の嚢をどのように保護すべきですか?
- A嚢を支えるため、嚢の周りに柔らかいリングを置いてあおむけに寝かせる
- B滅菌した湿潤状態の非固着性ドレッシングで覆い、赤ちゃんを腹臥位にする
- C乾燥させるために覆わずにおく
- Dきつい乾燥した包帯を巻く
7.むずかしい
A 25 kg child needs maintenance IV fluids. Using the 100–50–20 rule, what is the hourly rate?
- AAbout 50 mL per hour
- BAbout 67 mL per hour
- CAbout 104 mL per hour
- DAbout 25 mL per hour
8.むずかしい
意識のある 3 歳児が食べ物で窒息し、咳も、泣くことも、話すこともできません。看護師はどうすべきですか?
- A背部叩打法に続いて腹部突き上げ法を行い、応援を呼ぶ
- B飲み込ませるために水を与える
- C咳で出てくるかどうか様子を見る
- D食べ物を引っかけて取り出すために、口の中を指で盲目的にかき出す
解答
- 1. D · Coronary artery aneurysms
- 2. B · Lean red meat or iron-fortified cereal
- 3. A · Fever, poor feeding, vomiting and irritability
- 4. B · To prevent accidental fluid overload
- 5. B · A soft toothbrush or sponge, bland rinses and soft, cool foods
- 6. B · 滅菌した湿潤状態の非固着性ドレッシングで覆い、赤ちゃんを腹臥位にする
- 7. B · About 67 mL per hour
- 8. A · 背部叩打法に続いて腹部突き上げ法を行い、応援を呼ぶ
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