1.やさしい
Which illness causes a bright red rash on both cheeks, often called "slapped cheek"?
- AMeasles (rubeola virus)
- BImpetigo (staphylococcus)
- CFifth disease (parvovirus B19)
- DScarlet fever (group A streptococcus)
2.やさしい
What is a positive Brudzinski sign?
- ABending the neck forward causes the hips and knees to flex
- BThe child cannot straighten the knee when the hip is flexed
- CThe toes fan out when the sole of the foot is stroked
- DThe pupils become unequal in size after a head injury
3.やさしい
エリクソンによると、学童期(約 6~12 歳)の発達課題はどれですか?
- A自主性(積極性)対 罪悪感
- B基本的信頼 対 不信
- C世代性(生殖性)対 停滞
- D勤勉性 対 劣等感
4.ふつう
Using the 100–50–20 rule, what is the daily maintenance fluid requirement for a 15 kg child?
- A750 mL per day
- B1000 mL per day
- C1500 mL per day
- D1250 mL per day
5.ふつう
Which finding at a 2-year check most needs a speech and language referral?
- AThe child is not yet combining any two words
- BThe child says "no" to most suggestions
- CThe child uses about 50 words or more
- DThe child prefers to play beside other toddlers
6.ふつう
新生児のどの所見がヒルシュスプルング病を示唆しますか?
- A鮮やかな黄色のゆるい便
- B4 週での噴水状の嘔吐
- C犬が吠えるような咳
- D生後 48 時間以内に胎便が出ない
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?
- AGive the dose with milk to stop the vomiting
- BWithhold the dose and inform the prescriber
- CGive half the dose to be on the safe side
- DGive the dose and recheck the pulse in an hour
8.むずかしい
An infant with heart failure is breathing fast and working hard. Which position helps most?
- AFlat on the back with the legs raised
- BProne with the head turned to the side
- CLying flat on the left side only
- DSemi-upright, with the head and chest raised
解答
- 1. C · Fifth disease (parvovirus B19)
- 2. A · Bending the neck forward causes the hips and knees to flex
- 3. D · 勤勉性 対 劣等感
- 4. D · 1250 mL per day
- 5. A · The child is not yet combining any two words
- 6. D · 生後 48 時間以内に胎便が出ない
- 7. B · Withhold the dose and inform the prescriber
- 8. D · Semi-upright, with the head and chest raised
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