1.やさしい
就学前の子どもに典型的な遊びの種類はどれですか?
- A連合遊び:しっかりしたルールや役割はなく、ゆるやかに一緒に遊ぶ
- B傍観遊びだけ
- C組織的なチームスポーツ:決まったチームで厳しいルールと役割のもとで遊ぶ
- D一人遊びだけ
2.やさしい
Which is the most common type of cancer in children?
- AAcute lymphoblastic leukaemia
- BRetinoblastoma of the eye
- COsteosarcoma of the long bones
- DWilms tumour of the kidney
3.やさしい
Which four features make up tetralogy of Fallot?
- AVSD, mitral stenosis, coarctation of the aorta and an enlarged left atrium
- BVSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
- CASD, aortic stenosis, patent ductus arteriosus and left ventricular hypertrophy
- DPatent ductus arteriosus, VSD, ASD and transposition of the great arteries
4.ふつう
Why are IV fluids for young children given with an infusion pump or a volume-control set?
- ATo make the fluid warmer before it enters the vein
- BTo remove bacteria from the fluid
- CTo prevent accidental fluid overload
- DTo allow the child to adjust the rate
5.ふつう
How should a 3-year-old use a metered-dose inhaler?
- AWith a spacer and face mask, taking several normal breaths after each puff
- BWith a spacer and mask, holding the breath for 10 seconds after each puff
- CDirectly into the mouth without a spacer, while breathing in as fast as possible
- DWith a spacer, giving all the prescribed puffs into it at the same time
6.ふつう
How is urine output measured in an infant wearing nappies?
- ASqueeze the nappy out into a measuring jug and read the volume
- BEstimate it from how heavy the nappy feels in the hand
- CWeigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
- DCount only the number of nappy changes in each shift
7.むずかしい
A newborn becomes deeply cyanotic within hours of birth and does not improve with oxygen. A prostaglandin infusion is started. What is its purpose?
- ATo close the ductus arteriosus and send all blood through the lungs
- BTo keep the ductus arteriosus open so that the two circulations can mix
- CTo dilate the airways so that oxygen can reach the alveoli
- DTo strengthen heart muscle contraction and raise blood pressure
8.むずかしい
A child with nephrotic syndrome develops a painful, swollen leg. What should the nurse suspect?
- ADeep vein thrombosis
- BOrdinary oedema from the illness
- CA muscle strain from walking
- DAn allergic reaction to steroids
解答
- 1. A · 連合遊び:しっかりしたルールや役割はなく、ゆるやかに一緒に遊ぶ
- 2. A · Acute lymphoblastic leukaemia
- 3. B · VSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
- 4. C · To prevent accidental fluid overload
- 5. A · With a spacer and face mask, taking several normal breaths after each puff
- 6. C · Weigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
- 7. B · To keep the ductus arteriosus open so that the two circulations can mix
- 8. A · Deep vein thrombosis
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