1.やさしい
エリクソンによると、乳児期(出生から約 1 歳)の発達課題はどれですか?
- A基本的信頼 対 不信
- B自律性 対 恥・疑惑
- C親密性 対 孤立
- Dアイデンティティ(同一性)対 役割混乱
2.やさしい
家族中心のケアの中心的な原則はどれですか?
- A子どもが休めるように面会を制限する
- B子どものケアと治療に関する決定は、職員だけが行う
- Cすべての処置の間、親は退室すべきである
- D親と家族は、子どものケアのパートナーである
3.やさしい
In an asthma action plan based on peak flow, what does the green zone mean?
- AThis is an emergency; call for help at once
- BUse the reliever more often and contact the doctor today
- CAsthma is under control; continue usual treatment
- DStop the preventer because it is no longer needed
4.ふつう
A child has tinea capitis (ringworm of the scalp). Which treatment is usually needed?
- AOral antibiotics such as amoxicillin
- BAn oral antifungal medicine
- CA topical antifungal cream alone
- DShaving the head, with no medicine
5.ふつう
A child with suspected appendicitis is waiting for surgery. Which action must the nurse avoid?
- APutting a heat pad on the abdomen
- BKeeping the child nil by mouth
- CRegular pain assessment
- DGiving IV fluids as prescribed
6.ふつう
呼吸窮迫のある子どもが徐脈になりました。これは何を意味しますか?
- A子どもが回復して落ち着いてきている
- B酸素療法の副作用
- C睡眠に対する正常な反応
- D重度の低酸素のサインで、心停止が差し迫っている可能性がある
7.むずかしい
A child has suspected septic shock. Which action is the most time-critical?
- AStarting antibiotics after the fever has been present for 24 hours
- BGiving IV antibiotics as soon as possible, ideally within the first hour
- CGiving oral antibiotics and reviewing the child again in the morning
- DWaiting for the blood culture results before starting any antibiotic treatment
8.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 keep the ductus arteriosus open so that the two circulations can mix
- BTo dilate the airways so that oxygen can reach the alveoli
- CTo strengthen heart muscle contraction and raise blood pressure
- DTo close the ductus arteriosus and send all blood through the lungs
解答
- 1. A · 基本的信頼 対 不信
- 2. D · 親と家族は、子どものケアのパートナーである
- 3. C · Asthma is under control; continue usual treatment
- 4. B · An oral antifungal medicine
- 5. A · Putting a heat pad on the abdomen
- 6. D · 重度の低酸素のサインで、心停止が差し迫っている可能性がある
- 7. B · Giving IV antibiotics as soon as possible, ideally within the first hour
- 8. A · To keep the ductus arteriosus open so that the two circulations can mix
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