ورقة عمل تمريض الأطفال مع الإجابات

What is a positive Brudzinski sign?

1. AThe pupils become unequal in size after a head injury
2. BBending the neck forward causes the hips and knees to flex
3. CThe toes fan out when the sole of the foot is stroked
4. DThe child cannot straighten the knee when the hip is flexed

What is cerebral palsy?

1. AAn infection of the spinal cord that causes sudden paralysis of the legs
2. BA genetic disorder of collagen that makes the bones break easily
3. CA non-progressive disorder of movement and posture from damage to the developing brain
4. DA progressive muscle disease in which muscle fibres are slowly replaced by fat

Which finding suggests hydrocephalus in an infant?

1. AA sunken fontanelle with dry mucous membranes and few wet nappies
2. BA small head with a closed fontanelle at birth
3. CA rapidly increasing head circumference with a bulging fontanelle
4. DA flat area on the back of the head

Which factor can make a pulse oximeter reading inaccurate in a child?

1. AHaving eaten a meal in the last hour
2. BCold hands, movement or a poorly fitting probe
3. CHolding a parent's hand during the reading
4. DLying on the back instead of sitting up

How are feeds usually restarted after a pyloromyotomy for pyloric stenosis?

1. AOnly by nasogastric tube for the first month at home
2. BNot until 10 days after surgery, when the wound has healed
3. CWithin hours, increasing gradually as per protocol; some vomiting can be expected
4. DWith large, full-volume feeds straight away to make up for the weight lost

Which finding at a 2-year check most needs a speech and language referral?

1. AThe child prefers to play beside other toddlers
2. BThe child is not yet combining any two words
3. CThe child uses about 50 words or more
4. DThe child says "no" to most suggestions

A 10-year-old has vomiting, abdominal pain, deep rapid breathing and a fruity smell on the breath. His blood glucose is very high. What is the most likely diagnosis?

1. AAppendicitis
2. BGastroenteritis
3. CDiabetic ketoacidosis
4. DAcute asthma attack with hyperventilation

Which child is most appropriate to assign to a practical (enrolled) nurse?

1. AA 9-year-old newly admitted with diabetic ketoacidosis on an insulin infusion
2. BAn infant with bronchiolitis who needs more and more oxygen
3. CA 5-year-old just back from tonsillectomy who keeps swallowing
4. DA 7-year-old 2 days after an appendicectomy, stable on oral analgesia