1.やさしい
What is a greenstick fracture?
- AA fracture in which the broken bone ends push out through the skin
- BA fracture in which the bone shatters into many pieces
- CA fracture that passes through a joint surface only
- DAn incomplete fracture in which the bone bends and cracks on one side
2.やさしい
乳児の大泉門が陥没している場合、何を示唆しますか?
- A頭蓋内圧の亢進
- B発熱
- C脱水
- D正常な啼泣
3.やさしい
How do most preschool children understand death?
- AAs temporary or reversible, like being asleep or away
- BAs an abstract idea they can discuss in depth
- CAs permanent and something that will happen to everyone
- DAs a purely biological process, explained by science
4.ふつう
What is "assent" in children's care?
- AA form that lets the hospital treat any child without parental consent
- BThe child's agreement to care, sought alongside the parents' consent
- CThe legal consent signed by the parent for surgery
- DThe doctor's decision about which treatment is best
5.ふつう
Which nursing action is correct for a newborn receiving phototherapy?
- ACover the eyes, expose as much skin as possible and monitor temperature and hydration
- BStop feeds during phototherapy so that bilirubin falls faster
- CApply a moisturising lotion to the skin before each session to prevent drying under the lights
- DKeep the baby fully dressed under the lights to prevent heat loss
6.ふつう
Which advice is first-line for a school-age child with functional constipation?
- ADaily enemas given at home by the parents for several months, without other changes
- BAvoiding the toilet at school until the problem has settled
- CCutting out all fruit and vegetables to soften the stools
- DMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
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?
- ASkip the pancreatic enzymes on sports days to avoid stomach cramps
- BRestrict fluids to prevent extra mucus
- CDrink more and add extra salt, because more salt is lost in sweat
- DAvoid all exercise, because it damages the lungs
8.むずかしい
6 歳児が、扁桃摘出術後の痛みに対してコデインを処方されました。看護師はどうすべきですか?
- A投与する前に、処方者に指示への疑義を確認する
- B誰にも言わずに、粉砕して子どものミルクに混ぜる
- Cコデインはすべての子どもで安全なので、投与する
- D弱いオピオイドなので、2 倍量を投与する
解答
- 1. D · An incomplete fracture in which the bone bends and cracks on one side
- 2. C · 脱水
- 3. A · As temporary or reversible, like being asleep or away
- 4. B · The child's agreement to care, sought alongside the parents' consent
- 5. A · Cover the eyes, expose as much skin as possible and monitor temperature and hydration
- 6. D · More fibre and fluids, a regular toilet time after meals and laxatives if prescribed
- 7. C · Drink more and add extra salt, because more salt is lost in sweat
- 8. A · 投与する前に、処方者に指示への疑義を確認する
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