1.やさしい
Which is the most common type of cancer in children?
- AAcute lymphoblastic leukaemia
- BRetinoblastoma of the eye
- COsteosarcoma of the long bones
- DWilms tumour of the kidney
2.やさしい
Where should a healthcare provider check for a pulse in an unresponsive infant?
- AThe temporal artery
- BThe brachial artery
- CThe radial artery
- DThe carotid artery
3.やさしい
Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?
- AIt stops ovulation permanently
- BIt causes serious birth defects
- CIt causes heavy periods
- DIt makes contraceptive pills fail
4.ふつう
子どもでは通常アスピリンを避けるのに、川崎病でアスピリンを使うのはなぜですか?
- Aライ症候群を予防するため
- B発疹と関節痛に対する鎮痛薬としてのみ使い、熱が下がれば中止するため
- C専門医の管理のもとで、炎症と冠動脈の血栓のリスクを減らすため
- D病気の原因となる感染症を治すため
5.ふつう
A child with a myelomeningocele has a neurogenic bladder. Which management is usual?
- ARestricting fluids to reduce urine volume
- BWaiting for bladder control to develop naturally
- CClean intermittent catheterisation
- DA permanent catheter left in place for life
6.ふつう
Ten minutes into a blood transfusion, a child develops fever, chills and back pain. What should the nurse do first?
- AFinish the unit quickly, then report it
- BSlow the transfusion and give paracetamol (acetaminophen)
- CStop the transfusion
- DGive an antihistamine and continue
7.むずかしい
A 10-year-old with cystic fibrosis is going to play football on a hot day. What should the nurse teach?
- ADrink more and add extra salt, because more salt is lost in sweat
- BRestrict fluids to prevent extra mucus
- CSkip the pancreatic enzymes on sports days to avoid stomach cramps
- DAvoid all exercise, because it damages the lungs
8.むずかしい
A child with extensive burns is receiving IV fluid resuscitation. Which finding best shows that fluid replacement is adequate?
- AThe blood pressure is in the high range
- BA urine output of about 1 mL/kg per hour
- CThe child is asking for a drink
- DThe burned skin looks less red and the blisters are smaller
解答
- 1. A · Acute lymphoblastic leukaemia
- 2. B · The brachial artery
- 3. B · It causes serious birth defects
- 4. C · 専門医の管理のもとで、炎症と冠動脈の血栓のリスクを減らすため
- 5. C · Clean intermittent catheterisation
- 6. C · Stop the transfusion
- 7. A · Drink more and add extra salt, because more salt is lost in sweat
- 8. B · A urine output of about 1 mL/kg per hour
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