1.やさしい
Which treatment, given early, reduces the risk of heart damage in Kawasaki disease?
- AIntravenous immunoglobulin (IVIG)
- BAntiviral medicine such as aciclovir
- CInsulin and fluids
- DOral antibiotics for 10 days
2.やさしい
エリクソンによると、幼児期初期(約 1~3 歳)の主な発達課題はどれですか?
- A自律性 対 恥・疑惑
- B基本的信頼 対 不信
- C勤勉性 対 劣等感
- D自主性(積極性)対 罪悪感
3.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
4.ふつう
A 6-month-old's left eye turns inwards all the time. What should the nurse do?
- AReassure the parents that this always resolves by school age
- BRefer the baby to an eye specialist
- CAdvise them to wait until the child can read letters
- DCover the right eye with a patch at home without review
5.ふつう
A family has a 2-year-old. Which advice about medicines at home is best?
- ALock all medicines away, out of reach and sight, in child-resistant containers
- BCall medicines "sweets" so the child is happy to take them
- CKeep daily medicines in a handbag so they are always at hand
- DRely on child-resistant caps alone, since toddlers are not strong enough to open them
6.ふつう
A newborn with suspected oesophageal atresia is drooling frothy saliva. What is the immediate nursing care?
- AOffer small sips of sterile water to check whether the baby can swallow
- BGive a full feed by bottle and observe for vomiting afterwards
- CKeep the baby nil by mouth, raise the head and suction the upper pouch as needed
- DLay the baby flat and give the next feed slowly through a teat
7.むずかしい
A child with eczema suddenly develops clusters of painful, punched-out blisters and erosions with a fever. What should the nurse suspect?
- AChickenpox, which is mild and needs no specific treatment
- BAn allergic reaction to the emollient
- CEczema herpeticum, which needs urgent antiviral treatment
- DA normal eczema flare that needs more emollient
8.むずかしい
A 9-year-old with Down syndrome has new neck pain, clumsy walking and changes in bladder control. What should the nurse suspect?
- AGrowing pains in the legs
- BThe normal low muscle tone of Down syndrome getting worse with age
- CA simple urinary infection causing tiredness
- DAtlantoaxial instability with spinal cord compression
解答
- 1. A · Intravenous immunoglobulin (IVIG)
- 2. A · 自律性 対 恥・疑惑
- 3. 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
- 4. B · Refer the baby to an eye specialist
- 5. A · Lock all medicines away, out of reach and sight, in child-resistant containers
- 6. C · Keep the baby nil by mouth, raise the head and suction the upper pouch as needed
- 7. C · Eczema herpeticum, which needs urgent antiviral treatment
- 8. D · Atlantoaxial instability with spinal cord compression
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