1.やさしい
From about what age can whole cow's milk be given as a main drink?
- AAbout 6 months
- BAbout 3 months
- CNot until about 2 years
- DAbout 12 months
2.やさしい
入院中の幼児にとって、通常最も大きなストレス因子は何ですか?
- A親との分離
- B外見の変化
- C死への恐れ
- D学校を休むこと
3.やさしい
What is the main long-term complication of regular blood transfusions in beta-thalassaemia major?
- AIron overload
- BLow blood calcium
- CLow platelet count
- DVitamin B12 deficiency
4.ふつう
If the MMR and varicella vaccines are not given on the same day, what is the general rule?
- ANever give both vaccines in the same year
- BGive the second within 24 hours of the first
- CSeparate them by at least 1 week
- DSeparate them by at least 4 weeks
5.ふつう
血友病の子どもに適用される注意はどれですか?
- A関節と筋肉を鍛えるために、ラグビーなどの接触スポーツを勧める
- B可能な限り、筋肉内注射と直腸温の測定を避ける
- C痛みにアスピリンを与える
- D出血している関節を温める
6.ふつう
Which finding may suggest that a school-age child is being bullied?
- AEnjoying school clubs and inviting friends home
- BArguing with a sibling about the TV remote
- CWanting to collect trading cards and play team games with classmates
- DNot wanting to go to school, lost belongings and frequent stomach aches
7.むずかしい
A child on chemotherapy for leukaemia was in close contact with a classmate who has chickenpox. What should the nurse do?
- AGive the live varicella vaccine to the child that same day to boost immunity
- BTell the oncology team at once, as preventive treatment may be needed
- CReassure the family, as chickenpox is mild in all children
- DWait to see whether a rash develops before acting
8.むずかしい
4 歳児が高熱を出し、よだれを垂らし、首を伸ばして前かがみに座り、不安そうにしています。看護師が最初にすべきことは何ですか?
- A子どもを親のそばで落ち着かせて座位に保ち、気道管理に熟練したチームを呼ぶ
- B応援を呼ぶ前に静脈留置針を挿入する
- C原因菌を特定するため、咽頭ぬぐい液を採取する
- D子どもを寝かせ、舌圧子でのどを見て腫れを確認する
解答
- 1. D · About 12 months
- 2. A · 親との分離
- 3. A · Iron overload
- 4. D · Separate them by at least 4 weeks
- 5. B · 可能な限り、筋肉内注射と直腸温の測定を避ける
- 6. D · Not wanting to go to school, lost belongings and frequent stomach aches
- 7. B · Tell the oncology team at once, as preventive treatment may be needed
- 8. A · 子どもを親のそばで落ち着かせて座位に保ち、気道管理に熟練したチームを呼ぶ
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