1.やさしい
Where does neuroblastoma most often start?
- AIn the adrenal gland
- BIn the white matter of the brain
- CIn the lining of the bladder
- DIn the bone marrow of the pelvis
2.やさしい
What is usually the first sign of puberty in girls?
- AFirst menstrual period
- BUnderarm hair
- CBreast budding
- DRapid weight loss
3.やさしい
How does respiratory syncytial virus (RSV) mainly spread?
- AThrough contaminated food and drinking water
- BThrough the bites of insects such as mosquitoes
- COnly through the air over long distances, like measles
- DThrough droplets and contaminated hands and surfaces
4.ふつう
A child with suspected measles is admitted. Which precaution is most important?
- AAirborne precautions, ideally in a negative-pressure room
- BNo special precautions once the rash appears
- CContact precautions only, with gloves
- DDroplet precautions in a shared bay
5.ふつう
Which task can the registered nurse delegate to a healthcare assistant (nursing assistant) on a children's ward?
- AAssessing pain after surgery and choosing the analgesia
- BCarrying out the admission assessment of a new patient
- CTeaching a parent how to give insulin injections
- DMeasuring and recording the vital signs of a stable child
6.ふつう
How should the nurse position the ear when giving ear drops to a 2-year-old?
- APull the pinna gently down and back
- BLeave the pinna alone and tilt the head
- CPull the pinna gently up and back
- DPull the earlobe gently forward and up
7.むずかしい
生後 2 か月の赤ちゃんが、両頬にあざがある状態で連れてこられました。親は、赤ちゃんは「物にぶつかる」と言います。看護師は何をすべきですか?
- A所見を客観的に記録し、虐待防止(セーフガーディング)の手順に従って懸念を報告する
- B報告することを親に伝えたうえで、検討される前に赤ちゃんを連れて帰らせる
- C他の家族の前で、親を虐待で非難する
- D赤ちゃんはよく物にぶつかるものなので、説明を受け入れる
8.むずかしい
A 4-year-old says it is wrong to hit his sister "because then I get a time-out". Which level of Kohlberg's moral development does this reflect?
- AConventional level
- BFormal operational level
- CPreconventional level
- DPostconventional level
解答
- 1. A · In the adrenal gland
- 2. C · Breast budding
- 3. D · Through droplets and contaminated hands and surfaces
- 4. A · Airborne precautions, ideally in a negative-pressure room
- 5. D · Measuring and recording the vital signs of a stable child
- 6. A · Pull the pinna gently down and back
- 7. A · 所見を客観的に記録し、虐待防止(セーフガーディング)の手順に従って懸念を報告する
- 8. C · Preconventional level
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