1.やさしい
What does the HbA1c blood test show in a child with diabetes?
- AThe blood glucose at the exact moment of the test
- BThe amount of insulin the pancreas is making on the day of the test
- CThe average blood glucose over about the past 2–3 months
- DWhether ketones are present in the blood right now
2.やさしい
ウォン・ベーカーのフェイススケール(FACES)が最も適しているのはどれですか?
- A顔を指させる、約 3 歳以上の子ども
- B6 か月未満の赤ちゃん
- C早産の新生児
- D人工呼吸器を装着していて言葉で答えられない、意識のない子ども
3.やさしい
Which finding on examination is typical of pyloric stenosis?
- AA tender mass in the left lower abdomen
- BA swollen abdomen with no bowel sounds at all
- CA soft bulge at the belly button when crying
- DAn olive-shaped mass in the upper abdomen
4.ふつう
A child has tinea capitis (ringworm of the scalp). Which treatment is usually needed?
- AA topical antifungal cream alone
- BAn oral antifungal medicine
- CShaving the head, with no medicine
- DOral antibiotics such as amoxicillin
5.ふつう
幼い子どもの鉛中毒の一般的な原因はどれですか?
- A昨年作られたプラスチックのおもちゃ
- B新鮮な果物
- C古い住宅の、はがれた古い塗料とほこり
- D健康で栄養状態の良い母親の母乳
6.ふつう
The parents of a 2-year-old worry that she eats much less than she did as a baby. She is growing along her centile. What should the nurse advise?
- AThis is a sign of illness and she needs blood tests
- BAppetite falls as growth slows; offer small, healthy portions without pressure
- CEncourage her to finish every meal, even if this takes a long time at the table
- DGive extra bottles of milk to make up for the meals she refuses
7.むずかしい
生後 3 週の赤ちゃんの直腸温が 38.3 °C です。哺乳はいつもよりやや少なめですが、元気そうに見えます。看護師は何を助言すべきですか?
- A解熱薬を与え、3 日後に再診する
- B赤ちゃんを薄着にして、様子を見る
- C乳児の発熱は重篤な感染症のサインのことがあるため、緊急に医師の診察を受ける
- Dこの年齢の発熱は通常、歯の萌出や着せすぎが原因なので、緊急の対応は不要
8.むずかしい
The nurse has taught a parent about treating head lice. Which statement shows a need for further teaching?
- A"Lice can spread when children's heads touch."
- B"I'll check everyone else in the family for lice as well."
- C"After one treatment, I won't need to check her hair again."
- D"I'll use a fine-toothed comb on wet hair to find lice."
解答
- 1. C · The average blood glucose over about the past 2–3 months
- 2. A · 顔を指させる、約 3 歳以上の子ども
- 3. D · An olive-shaped mass in the upper abdomen
- 4. B · An oral antifungal medicine
- 5. C · 古い住宅の、はがれた古い塗料とほこり
- 6. B · Appetite falls as growth slows; offer small, healthy portions without pressure
- 7. C · 乳児の発熱は重篤な感染症のサインのことがあるため、緊急に医師の診察を受ける
- 8. C · "After one treatment, I won't need to check her hair again."
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