1.やさしい
According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?
- AInitiative versus guilt
- BTrust versus mistrust
- CIntimacy versus isolation
- DIndustry versus inferiority
2.やさしい
就学前の子どもに典型的な遊びの種類はどれですか?
- A一人遊びだけ
- B連合遊び:しっかりしたルールや役割はなく、ゆるやかに一緒に遊ぶ
- C傍観遊びだけ
- D組織的なチームスポーツ:決まったチームで厳しいルールと役割のもとで遊ぶ
3.やさしい
Where should eye drops be placed for a child?
- ADirectly onto the centre of the cornea
- BInto the inner corner of the eye
- CInto the pocket of the lower eyelid
- DOnto the upper eyelid while the eye is shut
4.ふつう
同じ受診で、子どもが複数の異なるワクチンの接種予定です。一般原則はどれですか?
- Aすべてのワクチンを 1 本の注射器で混ぜるべきである
- B同じ受診で、別々の接種部位に接種できる
- Cそれぞれ半量を数週間に分けて接種すべきである
- D1 か月に 1 種類のワクチンしか接種できない
5.ふつう
The parents of a 2-year-old worry that she eats much less than she did as a baby. She is growing along her centile. What should the nurse advise?
- AAppetite falls as growth slows; offer small, healthy portions without pressure
- BThis is a sign of illness and she needs blood tests
- CGive extra bottles of milk to make up for the meals she refuses
- DEncourage her to finish every meal, even if this takes a long time at the table
6.ふつう
Which measure is most important in preventing infection in a child with neutropenia?
- AGiving routine antibiotics to all family members
- BKeeping all visitors, including the parents, out of the child's room
- CWearing a mask only when the child has a fever
- DCareful hand hygiene by everyone in contact with the child
7.むずかしい
An infant on digoxin has vomited twice. The apical pulse is below the limit set by the prescriber. What should the nurse do?
- AWithhold the dose and inform the prescriber
- BGive half the dose to be on the safe side
- CGive the dose with milk to stop the vomiting
- DGive the dose and recheck the pulse in an hour
8.むずかしい
A child with cyanotic heart disease and polycythaemia has a fever and vomiting. Why is dehydration especially dangerous?
- AIt lowers the red cell count and causes severe anaemia
- BIt causes the heart defect to close on its own
- CIt makes the blood even thicker and raises the risk of stroke and thrombosis
- DIt leads to fluid overload and pulmonary oedema as the kidneys hold on to water
解答
- 1. A · Initiative versus guilt
- 2. B · 連合遊び:しっかりしたルールや役割はなく、ゆるやかに一緒に遊ぶ
- 3. C · Into the pocket of the lower eyelid
- 4. B · 同じ受診で、別々の接種部位に接種できる
- 5. A · Appetite falls as growth slows; offer small, healthy portions without pressure
- 6. D · Careful hand hygiene by everyone in contact with the child
- 7. A · Withhold the dose and inform the prescriber
- 8. C · It makes the blood even thicker and raises the risk of stroke and thrombosis
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