1.やさしい
FLACC スケールが最も適切なのは、どの子どもですか?
- Aまだ痛みを言葉で説明できない 2 歳児
- B痛みを 0~10 で評価できる 14 歳
- C手術後の成人
- D数値評価スケールを使える 9 歳
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
- B6 か月未満の赤ちゃん
- C早産の新生児
- D顔を指させる、約 3 歳以上の子ども
3.やさしい
Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?
- A1000 mL per day
- B2000 mL per day
- C1500 mL per day
- D500 mL per day
4.ふつう
Which factor can make a pulse oximeter reading inaccurate in a child?
- AHolding a parent's hand during the reading
- BHaving eaten a meal in the last hour
- CCold hands, movement or a poorly fitting probe
- DLying on the back instead of sitting up
5.ふつう
A 2-year-old says "No!" when it is time for his liquid medicine. What is the best approach?
- AWait until he agrees to take it, even if the dose is hours late
- BTell him he is a bad boy for refusing
- COffer a limited choice, such as the cup or the syringe
- DAsk him whether he wants to take his medicine or not
6.ふつう
大動脈縮窄症を示唆する所見はどれですか?
- A脚より腕の血圧が高く、大腿動脈の脈拍が弱い
- B犬が吠えるような咳
- Cすべての四肢で血圧が等しい
- D大腿動脈の脈拍が強く、腕の脈拍が弱くて腕の血圧が低い
7.むずかしい
The nurse has taught the parents of a child with sickle cell disease. Which statement shows a need for further teaching?
- A"We'll call the hospital straight away if she has a fever."
- B"We'll dress her warmly before she goes out in cold weather."
- C"We'll learn how to feel her tummy for an enlarged spleen."
- D"In summer she can drink less so she doesn't need the toilet at school."
8.むずかしい
The nurse has taught the family of a 7-year-old with coeliac disease. Which statement shows a need for further teaching?
- A"He can eat normal bread at weekends if he's strict in the week."
- B"We will check food labels for wheat, barley and rye."
- C"We will use a separate toaster for his gluten-free bread."
- D"Plain rice and potatoes are fine for him."
解答
- 1. A · まだ痛みを言葉で説明できない 2 歳児
- 2. D · 顔を指させる、約 3 歳以上の子ども
- 3. A · 1000 mL per day
- 4. C · Cold hands, movement or a poorly fitting probe
- 5. C · Offer a limited choice, such as the cup or the syringe
- 6. A · 脚より腕の血圧が高く、大腿動脈の脈拍が弱い
- 7. D · "In summer she can drink less so she doesn't need the toilet at school."
- 8. A · "He can eat normal bread at weekends if he's strict in the week."
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