1.やさしい
Which symptom is typical of scabies?
- ALarge blisters on the soles of the feet after walking
- BPainless red patches that slowly spread outward over months
- CDry, flaky scalp with dandruff but no itching
- DIntense itching, worse at night, with burrows between the fingers
2.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臀部の背側殿筋
- Bすべての年齢で三角筋
- C前腕の筋肉
- D大腿前外側の外側広筋
3.やさしい
How much fluoride toothpaste is usually advised for a child under 3 years?
- AA full strip along the length of the brush
- BA smear about the size of a grain of rice
- CA pea-sized amount on a soft brush
- DNone until all the baby teeth have come through
4.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?
- AGive extra bottles of milk to make up for the meals she refuses
- BEncourage her to finish every meal, even if this takes a long time at the table
- CAppetite falls as growth slows; offer small, healthy portions without pressure
- DThis is a sign of illness and she needs blood tests
5.ふつう
A 6-year-old with a life-limiting illness asks the nurse, "Am I going to die?" What is the best response?
- ATell the child that only the doctor is allowed to talk about this subject with children
- BChange the subject quickly so the child is not upset
- CFind out what prompted the question, then answer honestly and simply, with the family
- DTell the child firmly that this will not happen
6.ふつう
Which non-drug technique suits a 5-year-old during a cannula insertion?
- AReading a detailed leaflet about the procedure
- BBlowing bubbles or looking at a pop-up book
- CDoing slow breathing exercises with a numeric scale
- DBeing left alone so the child can concentrate
7.むずかしい
ファロー四徴症の幼児が激しく泣き、強いチアノーゼを呈してぐったりしました。看護師が最初にすべきことは何ですか?
- A頭囲を測定する
- B落ち着かせるために散歩に連れていく
- C子どもを膝胸位にし、落ち着かせて、応援を呼ぶ
- D心臓への血液の戻りを増やすため、脚を挙上して平らに寝かせる
8.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 and recheck the pulse in an hour
- BGive the dose with milk to stop the vomiting
- CGive half the dose to be on the safe side
- DWithhold the dose and inform the prescriber
解答
- 1. D · Intense itching, worse at night, with burrows between the fingers
- 2. D · 大腿前外側の外側広筋
- 3. B · A smear about the size of a grain of rice
- 4. C · Appetite falls as growth slows; offer small, healthy portions without pressure
- 5. C · Find out what prompted the question, then answer honestly and simply, with the family
- 6. B · Blowing bubbles or looking at a pop-up book
- 7. C · 子どもを膝胸位にし、落ち着かせて、応援を呼ぶ
- 8. D · Withhold the dose and inform the prescriber
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