1.やさしい
幼児が家庭用の化学物質を飲み込んだ可能性があります。親への正しい最初の助言はどれですか?
- A食塩水を飲ませて吐かせる
- B指をのどに入れて吐かせてから、医師に連絡する
- C症状が出るかどうか様子を見る
- Dすぐに中毒情報センターまたは救急に連絡する
2.やさしい
Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?
- A2000 mL per day
- B1500 mL per day
- C500 mL per day
- D1000 mL per day
3.やさしい
Which five signs make up the Apgar score?
- AHeart rate, blood pressure, temperature, weight and colour
- BOxygen saturation, temperature, reflexes, weight and feeding
- CBreathing rate, blood glucose, length, muscle tone and cry
- DHeart rate, breathing effort, muscle tone, reflex response and colour
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 that only the doctor is allowed to talk about this subject with children
- BFind out what prompted the question, then answer honestly and simply, with the family
- CChange the subject quickly so the child is not upset
- DTell the child firmly that this will not happen
5.ふつう
ピンセット把持(親指と人差し指で小さな物をつまむこと)が通常発達するのは、何か月ごろですか?
- A約 9~10 か月
- B約 2 歳
- C約 3 か月
- D約 18 か月
6.ふつう
Which defect classically causes a continuous "machinery" murmur?
- AIsolated pulmonary stenosis with an intact ventricular septum
- BPatent ductus arteriosus
- CTetralogy of Fallot
- DAtrial septal defect
7.むずかしい
Which practice most reduces the risk of errors with high-alert medicines such as insulin or opioid infusions in children?
- AAn independent double check by a second nurse before giving the medicine
- BAsking the child's parent to look at the syringe and confirm that the dose looks right
- CChecking the dose only when the drug is given for the first time
- DRounding doses up to the nearest whole number to keep things simple
8.むずかしい
The nurse has taught the parents of a child with sickle cell disease. Which statement shows a need for further teaching?
- A"We'll learn how to feel her tummy for an enlarged spleen."
- B"We'll dress her warmly before she goes out in cold weather."
- C"In summer she can drink less so she doesn't need the toilet at school."
- D"We'll call the hospital straight away if she has a fever."
解答
- 1. D · すぐに中毒情報センターまたは救急に連絡する
- 2. D · 1000 mL per day
- 3. D · Heart rate, breathing effort, muscle tone, reflex response and colour
- 4. B · Find out what prompted the question, then answer honestly and simply, with the family
- 5. A · 約 9~10 か月
- 6. B · Patent ductus arteriosus
- 7. A · An independent double check by a second nurse before giving the medicine
- 8. C · "In summer she can drink less so she doesn't need the toilet at school."
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