1.やさしい
What should the nurse tell a child about hair loss from chemotherapy?
- AIt happens only if the child washes and brushes the hair too often
- BIt is usually temporary, and the hair grows back after treatment
- CIt means the chemotherapy is not working
- DIt is permanent, so a wig will always be needed
2.やさしい
クループに典型的な症状はどれですか?
- A咳込みのあとの「ヒュー」という吸気音
- Bよだれと嚥下困難
- C犬が吠えるような(アシカの鳴き声のような)咳
- D息を吐くときだけの喘鳴
3.やさしい
乳児の筋肉内ワクチン接種で通常推奨される部位はどれですか?
- A前腕の筋肉
- B大腿前外側の外側広筋
- C臀部の背側殿筋
- Dすべての年齢で三角筋
4.ふつう
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
- AJaundice, because the breakdown of the trapped blood adds to bilirubin
- BBlood pressure, because the swelling causes hypertension
- CHead circumference twice daily, because it signals hydrocephalus
- DUrine colour, because the swelling causes kidney damage
5.ふつう
How should a 4-month-old be protected from the sun?
- AExpose the baby to midday sun for vitamin D, then cover up
- BApply a thick layer of high-factor sunscreen and allow full sun
- CUse a sunbed for a few minutes to build a protective tan
- DKeep the baby out of direct sun, in the shade, with light clothing and a hat
6.ふつう
Which group of findings suggests Kawasaki disease?
- ALow-grade fever, a barking cough and stridor that are worse at night
- BHigh fever for 3 days, then a pink rash as the fever settles
- CFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- DFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
7.むずかしい
ネフローゼ症候群の子どもが、高用量のコルチコステロイドを投与されています。家族への指導で最も重要なのはどれですか?
- A高塩分の食事を勧める
- B発熱や感染のサインを速やかに報告する
- C浮腫が消えたら、ステロイドを急にやめる
- D治療中に生ワクチンを接種する
8.むずかしい
Which child on the renal ward should the nurse assess first?
- AA 6-year-old on IV antibiotics for a UTI who has had no fever for 24 hours
- BA 7-year-old with glomerulonephritis who has a severe headache and blurred vision
- CA 4-year-old with nephrotic syndrome and mild puffy eyelids, stable since admission
- DA 2-year-old after hypospadias repair with clear urine in the catheter bag
解答
- 1. B · It is usually temporary, and the hair grows back after treatment
- 2. C · 犬が吠えるような(アシカの鳴き声のような)咳
- 3. B · 大腿前外側の外側広筋
- 4. A · Jaundice, because the breakdown of the trapped blood adds to bilirubin
- 5. D · Keep the baby out of direct sun, in the shade, with light clothing and a hat
- 6. C · Fever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- 7. B · 発熱や感染のサインを速やかに報告する
- 8. B · A 7-year-old with glomerulonephritis who has a severe headache and blurred vision
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