1170 お客様のコメント
質問 1：
A patient is admitted with severe anemia requiring urgent intervention. The parents refuse the transfusion due to religious beliefs. The most appropriate action by the nurse is to:
A. Respect the family's wishes to withhold the blood transfusion, and document their refusal
B. Immediately administer the transfusion to save the patient's life, regardless of the parents' wishes
C. Convince the parents to change their mind by emphasizing the severity and potential for fatality
D. Consult the hospital's ethics committee and legal team while providing alternative treatments
正解：D
解説: (Pass4Test メンバーにのみ表示されます)
質問 2：
A 13-year-old with systemic lupus erythematosus has hypotension, CVP of 15 mm Hg, cool extremities, gallop rhythm, and coarse breath sounds. What treatment is expected?
A. Isotonic volume resuscitation
B. Colloid volume resuscitation
C. Inotropic support
D. Ventilatory support
正解：C
解説: (Pass4Test メンバーにのみ表示されます)
質問 3：
A pediatric patient is admitted with severe sepsis and multi-organ dysfunction syndrome (MODS).
Which of the following treatments should a nurse anticipate initially?
A. Vasopressors, fluid management, and ventilator support
B. Continuous renal replacement therapy (CRRT), ventilator support, and chest physiotherapy(CPT)
C. Vasodilators, continuous renal replacement therapy (CRRT), and parenteral nutrition
D. Vasopressors, chest physiotherapy (CPT), and total parenteral nutrition
正解：A
解説: (Pass4Test メンバーにのみ表示されます)
質問 4：
A young patient is admitted from the PACU to the ICU with complications following surgery. The parents are angry and confused as they were originally told by the surgeon their child was stable and the plan was to transfer the child to a regular room. How should the nurse best address the parents' concerns?
A. Document the parent's complaint and notify the patient-family representative
B. Page the hospitalist to meet with parents and provide an explanation
C. Ensure there is consistency with communication among the team
D. Let the parents know the PACU was only trying to help their child
正解：C
解説: (Pass4Test メンバーにのみ表示されます)
質問 5：
A 6-year-old child with SIADH was initially treated with a full liquid diet high in sodium. The child is now complaining of headaches, nausea, and muscle cramps. Laboratory results indicate a low sodium level. The revised plan of care should be to:
A. Replace twice the urine output volume with 3% NS
B. Restrict IV fluids to ½ maintenance
C. Administer vasopressin (Pitressin)
D. Give a normal saline fluid bolus
正解：B
解説: (Pass4Test メンバーにのみ表示されます)
A patient is admitted with severe anemia requiring urgent intervention. The parents refuse the transfusion due to religious beliefs. The most appropriate action by the nurse is to:
A. Respect the family's wishes to withhold the blood transfusion, and document their refusal
B. Immediately administer the transfusion to save the patient's life, regardless of the parents' wishes
C. Convince the parents to change their mind by emphasizing the severity and potential for fatality
D. Consult the hospital's ethics committee and legal team while providing alternative treatments
正解：D
解説: (Pass4Test メンバーにのみ表示されます)
質問 2：
A 13-year-old with systemic lupus erythematosus has hypotension, CVP of 15 mm Hg, cool extremities, gallop rhythm, and coarse breath sounds. What treatment is expected?
A. Isotonic volume resuscitation
B. Colloid volume resuscitation
C. Inotropic support
D. Ventilatory support
正解：C
解説: (Pass4Test メンバーにのみ表示されます)
質問 3：
A pediatric patient is admitted with severe sepsis and multi-organ dysfunction syndrome (MODS).
Which of the following treatments should a nurse anticipate initially?
A. Vasopressors, fluid management, and ventilator support
B. Continuous renal replacement therapy (CRRT), ventilator support, and chest physiotherapy(CPT)
C. Vasodilators, continuous renal replacement therapy (CRRT), and parenteral nutrition
D. Vasopressors, chest physiotherapy (CPT), and total parenteral nutrition
正解：A
解説: (Pass4Test メンバーにのみ表示されます)
質問 4：
A young patient is admitted from the PACU to the ICU with complications following surgery. The parents are angry and confused as they were originally told by the surgeon their child was stable and the plan was to transfer the child to a regular room. How should the nurse best address the parents' concerns?
A. Document the parent's complaint and notify the patient-family representative
B. Page the hospitalist to meet with parents and provide an explanation
C. Ensure there is consistency with communication among the team
D. Let the parents know the PACU was only trying to help their child
正解：C
解説: (Pass4Test メンバーにのみ表示されます)
質問 5：
A 6-year-old child with SIADH was initially treated with a full liquid diet high in sodium. The child is now complaining of headaches, nausea, and muscle cramps. Laboratory results indicate a low sodium level. The revised plan of care should be to:
A. Replace twice the urine output volume with 3% NS
B. Restrict IV fluids to ½ maintenance
C. Administer vasopressin (Pitressin)
D. Give a normal saline fluid bolus
正解：B
解説: (Pass4Test メンバーにのみ表示されます)
Suzuki -
読みやすく わかりやすい解説が大のお気に入りですし、このCCRN-Pediatric問題集一つに集約していて素晴らしいですね。ありがとうございます。