1.やさしい
How should liquid medicine be given to an infant?
- AMixed into a full bottle of milk
- BWith a household teaspoon from the kitchen drawer
- CSlowly, by oral syringe, into the cheek
- DQuickly with a syringe aimed at the back of the throat
2.やさしい
What is the most common cause of Down syndrome?
- AA missing X chromosome in a girl
- BA single gene inherited from both carrier parents
- CAn extra copy of chromosome 21 (trisomy 21)
- DInfection with rubella in early pregnancy
3.やさしい
子どものパラセタモール(アセトアミノフェン)の用量は、通常どのように決めますか?
- A親の希望による
- B子どもの体重による
- C子どもの身長のみによる
- Dすべての子どもで同じ用量
4.ふつう
注射のあと、4 歳児が注射の部位に絆創膏を貼ってほしいとこだわります。これは何で説明できますか?
- A就学前の子どもは解剖をよく理解しており、部位を清潔に保ちたいと考えている
- B子どもが注射にアレルギーを起こしている
- C就学前の子どもは身体の傷害を恐れ、体の中身が漏れ出ると考えることがある
- D子どもが手を焼かせているだけなので、無視すべきである
5.ふつう
A child with a myelomeningocele has a neurogenic bladder. Which management is usual?
- AA permanent catheter left in place for life
- BWaiting for bladder control to develop naturally
- CClean intermittent catheterisation
- DRestricting fluids to reduce urine volume
6.ふつう
Which instruction about using an adrenaline (epinephrine) auto-injector is correct?
- AInject into the upper arm muscle, but only after removing all the clothing first
- BUse it only after an antihistamine has failed to work
- CInject into the outer thigh, through clothing if needed, and call emergency services
- DInject it into the buttock muscle and then let the child walk it off at home
7.むずかしい
The parent of a child on chemotherapy calls to say the child has a temperature of 38.5 °C (101.3 °F). What is the correct advice?
- AWait until the next clinic visit, as fever is common
- BGive a cool bath and keep the child at home
- CBring the child to hospital straight away for assessment and IV antibiotics
- DGive paracetamol (acetaminophen) and call back if the fever lasts more than 2 days
8.むずかしい
Which child should the nurse see first?
- AA 6-year-old with asthma whose peak flow is 85% of his best after salbutamol
- BA 5-month-old with bronchiolitis who has an oxygen saturation of 95% and is feeding
- CA 2-year-old with croup who has a barking cough but no stridor at rest
- DA 4-year-old with asthma who can say only one or two words between breaths
解答
- 1. C · Slowly, by oral syringe, into the cheek
- 2. C · An extra copy of chromosome 21 (trisomy 21)
- 3. B · 子どもの体重による
- 4. C · 就学前の子どもは身体の傷害を恐れ、体の中身が漏れ出ると考えることがある
- 5. C · Clean intermittent catheterisation
- 6. C · Inject into the outer thigh, through clothing if needed, and call emergency services
- 7. C · Bring the child to hospital straight away for assessment and IV antibiotics
- 8. D · A 4-year-old with asthma who can say only one or two words between breaths
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