1.やさしい
Which symptom is typical of scabies?
- ADry, flaky scalp with dandruff but no itching
- BLarge blisters on the soles of the feet after walking
- CIntense itching, worse at night, with burrows between the fingers
- DPainless red patches that slowly spread outward over months
2.やさしい
Which drug is used to keep the ductus arteriosus open in a newborn with a duct-dependent heart defect?
- ADigoxin
- BProstaglandin E1
- CIntravenous indomethacin
- DFurosemide
3.やさしい
ワクチン接種予定の子どもが、軽い風邪と 37.8 °C の体温を示しています。一般原則はどれですか?
- A子どもに半量だけ投与する
- B先に抗菌薬を服用させなければならない
- C軽い病気は、接種を延期する理由にならない
- D子どもが元気になるまで、ワクチンを 4 週間延期しなければならない
4.ふつう
Which signs suggest digoxin toxicity in a child?
- AHigh fever with a spreading red rash
- BFast heart rate with high blood pressure
- CNausea, vomiting, poor feeding and a slow heart rate
- DIncreased appetite, extra energy and rapid weight gain over a few days
5.ふつう
Which factors can trigger a sickle cell crisis?
- AEating a high-iron diet and taking daily multivitamins
- BDrinking plenty of water during hot weather
- CSleeping for long periods in a warm room
- DDehydration, infection, cold and low oxygen
6.ふつう
The nurse uses a blood pressure cuff that is too small for a child's arm. What effect will this have?
- AThe cuff will not inflate at all
- BThe reading will be falsely low
- CThe reading will be falsely high
- DThe reading will be accurate but slower to obtain
7.むずかしい
A toddler has burns on both feet and the buttocks, with sharp "stocking" lines and no splash marks. What should the nurse consider?
- ASunburn from playing outside in a paddling pool on a hot day
- BA skin infection that looks like a burn
- CPossible deliberate immersion; follow the safeguarding procedure
- DAn accidental spill from a cup of tea
8.むずかしい
The nurse has taught the parents of a child with type 1 diabetes. Which statement shows a need for further teaching?
- A"We'll give the school a copy of her hypo plan and glucagon."
- B"For a low, I'll give her a chocolate bar, because it's the fastest sugar."
- C"We'll recheck her glucose about 15 minutes after treating a low."
- D"We'll check her glucose before driving to her swimming lesson."
解答
- 1. C · Intense itching, worse at night, with burrows between the fingers
- 2. B · Prostaglandin E1
- 3. C · 軽い病気は、接種を延期する理由にならない
- 4. C · Nausea, vomiting, poor feeding and a slow heart rate
- 5. D · Dehydration, infection, cold and low oxygen
- 6. C · The reading will be falsely high
- 7. C · Possible deliberate immersion; follow the safeguarding procedure
- 8. B · "For a low, I'll give her a chocolate bar, because it's the fastest sugar."
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