1.やさしい
Which side effects are common after a dose of salbutamol?
- AWeight gain and high blood sugar
- BOral thrush and a hoarse voice
- CDrowsiness and slow breathing
- DTremor and a fast heart rate
2.やさしい
What is the main cause of type 1 diabetes in children?
- AAutoimmune destruction of the insulin-producing beta cells
- BA lack of glucagon from the alpha cells of the pancreas
- CInsulin resistance caused mainly by obesity and inactivity
- DToo much insulin being produced by an overactive pancreas
3.やさしい
非侵襲的ケア(アトラウマティックケア)の考え方では、採血などの痛みを伴う処置はどこで行うべきですか?
- A子どものベッドではなく、処置室
- B子どもがリラックスできるようにプレイルーム
- C他の子どもの前の待合室
- D子どもが動かなくて済むように子どものベッド
4.ふつう
An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?
- ASerum potassium
- BSerum bilirubin
- CSerum amylase and lipase
- DPlatelet count
5.ふつう
Which factors can trigger a sickle cell crisis?
- ASleeping for long periods in a warm room
- BDehydration, infection, cold and low oxygen
- CEating a high-iron diet and taking daily multivitamins
- DDrinking plenty of water during hot weather
6.ふつう
After a cardiac catheterisation through the femoral artery, which assessment is essential?
- APupil size and reaction every 15 minutes
- BUrine specific gravity at every void
- CPulse, colour, warmth and sensation of the leg below the puncture site
- DBowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
7.むずかしい
下痢のある乳児の所見のうち、最も重度の脱水を示唆するものはどれですか?
- A唇がやや乾燥し、喉が渇いている
- B嗜眠、毛細血管再充満時間 4 秒、10 時間おむつの濡れなし
- C大泉門は正常、粘膜は湿っており、今日はこれまでに 4 回おむつが濡れた
- D食欲が軽く低下している
8.むずかしい
An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?
- AAsk detailed, leading questions to find out exactly what happened
- BPhone the uncle straight away to ask for his side of the story before reporting anything
- CPromise to keep the secret, so that she keeps trusting the nurse and tells more later
- DListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
解答
- 1. D · Tremor and a fast heart rate
- 2. A · Autoimmune destruction of the insulin-producing beta cells
- 3. A · 子どものベッドではなく、処置室
- 4. A · Serum potassium
- 5. B · Dehydration, infection, cold and low oxygen
- 6. C · Pulse, colour, warmth and sensation of the leg below the puncture site
- 7. B · 嗜眠、毛細血管再充満時間 4 秒、10 時間おむつの濡れなし
- 8. D · Listen calmly, praise her for telling, explain it must be shared, and follow safeguarding
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