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الاسم: ____________________ التاريخ: ____________
1.سهلة
How is sickle cell disease inherited?
AAutosomal dominant
BAutosomal recessive
CNot inherited; it is acquired
DX-linked recessive
2.سهلة
Which drug reverses opioid-induced breathing depression?
AFlumazenil
BGlucagon
CAtropine
DNaloxone
3.سهلة
Which type of play, with shared goals, rules and roles, is typical of school-age children?
AParallel play
BSolitary play
COnlooker play
DCooperative play
4.متوسطة
Which instruction about giving oral liquid iron to a child is correct?
AStop the iron straight away if the stools turn dark green or black, as this means bleeding
BGive it mixed in a full bottle of milk to reduce stomach upset
CGive it together with an antacid to protect the stomach
DGive it with a syringe or straw towards the back of the mouth; dark stools are expected
5.متوسطة
A child with suspected measles is admitted. Which precaution is most important?
ADroplet precautions in a shared bay
BAirborne precautions, ideally in a negative-pressure room
CContact precautions only, with gloves
DNo special precautions once the rash appears
6.متوسطة
A family has a 2-year-old. Which advice about medicines at home is best?
AKeep daily medicines in a handbag so they are always at hand
BLock all medicines away, out of reach and sight, in child-resistant containers
CCall medicines "sweets" so the child is happy to take them
DRely on child-resistant caps alone, since toddlers are not strong enough to open them
7.صعبة
A 14-year-old has superficial cuts on her forearms. She says cutting helps her cope and that she does not want to die. What is the best nursing response?
ATell her firmly that cutting is attention-seeking behaviour and that she must stop now
BAccept that she is not at risk because she says she does not want to die
CPromise not to tell anyone so that she keeps talking
DTreat the wounds, stay calm and non-judgemental, and refer for assessment
8.صعبة
A 25 kg child needs maintenance IV fluids. Using the 100–50–20 rule, what is the hourly rate?
AAbout 104 mL per hour
BAbout 50 mL per hour
CAbout 67 mL per hour
DAbout 25 mL per hour
مفتاح الإجابات
1. B · Autosomal recessive
2. D · Naloxone
3. D · Cooperative play
4. D · Give it with a syringe or straw towards the back of the mouth; dark stools are expected
5. B · Airborne precautions, ideally in a negative-pressure room
6. B · Lock all medicines away, out of reach and sight, in child-resistant containers
7. D · Treat the wounds, stay calm and non-judgemental, and refer for assessment
8. C · About 67 mL per hour
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