1.やさしい
Which is the most common type of cancer in children?
- AWilms tumour of the kidney
- BAcute lymphoblastic leukaemia
- CRetinoblastoma of the eye
- DOsteosarcoma of the long bones
2.やさしい
How is congenital clubfoot (talipes equinovarus) usually treated first?
- ASpecial shoes worn only at night from age 5
- BWaiting until school age and then operating on the bones of the foot
- CGentle manipulation and serial casting (the Ponseti method)
- DMassage alone, with no casts or braces
3.やさしい
Which feature is typical of whooping cough (pertussis) in an older child?
- AA wheeze heard only on breathing out, with a runny nose
- BBouts of coughing that end with a "whoop" on breathing in
- CDrooling, a high fever and difficulty swallowing saliva
- DA barking cough and a hoarse voice that are worse at night
4.ふつう
A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?
- AHold the child's arms and legs firmly to stop the movements
- BGive the prescribed rescue medicine and call for emergency help
- CPut a tongue depressor between the child's teeth
- DWait another 15 minutes, because most seizures stop on their own
5.ふつう
Which approach best helps a 4-year-old during a vaccination?
- ATell the child the injection will not hurt at all
- BHave staff hold the child flat on the couch so the injection is quick
- CPromise a reward only if the child stays completely still and does not cry
- DHold the child upright on a parent's lap and use distraction, such as blowing bubbles
6.ふつう
How should the nurse measure the heart rate of a 9-month-old?
- ACount the apical pulse for a full minute
- BCount the radial pulse for 15 seconds and multiply by 4
- CCount the carotid pulse for 30 seconds and multiply by 2
- DRead it from the pulse oximeter only
7.むずかしい
An infant with heart failure is breathing fast and working hard. Which position helps most?
- AProne with the head turned to the side
- BLying flat on the left side only
- CSemi-upright, with the head and chest raised
- DFlat on the back with the legs raised
8.むずかしい
The parents of a 9-year-old who wets the bed most nights have been punishing him. What is the best advice?
- AStop punishing him, praise dry nights and consider a bedwetting alarm
- BWait, as no help is available until he is a teenager
- CWake him every hour through the night and make him change his own sheets
- DStop all drinks after lunch and keep him in nappies
解答
- 1. B · Acute lymphoblastic leukaemia
- 2. C · Gentle manipulation and serial casting (the Ponseti method)
- 3. B · Bouts of coughing that end with a "whoop" on breathing in
- 4. B · Give the prescribed rescue medicine and call for emergency help
- 5. D · Hold the child upright on a parent's lap and use distraction, such as blowing bubbles
- 6. A · Count the apical pulse for a full minute
- 7. C · Semi-upright, with the head and chest raised
- 8. A · Stop punishing him, praise dry nights and consider a bedwetting alarm
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