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1.سهلة
Which feature is typical of whooping cough (pertussis) in an older child?
ABouts of coughing that end with a "whoop" on breathing in
BA wheeze heard only on breathing out, with a runny nose
CDrooling, a high fever and difficulty swallowing saliva
DA barking cough and a hoarse voice that are worse at night
2.سهلة
Which vaccine has made acute epiglottitis much less common in children?
AMeasles–mumps–rubella (MMR) vaccine
BPneumococcal conjugate vaccine
CHaemophilus influenzae type b (Hib) vaccine
DRotavirus vaccine given by mouth
3.سهلة
Which teething remedy is generally recommended for infants?
ARubbing honey on the gums before sleep
BAn amber teething necklace worn day and night
CA clean, chilled (not frozen) teething ring
DA gel containing the local anaesthetic benzocaine
4.متوسطة
أي إجراء تمريضي هو الأنفع لرضيع مصاب بالتهاب القصيبات؟
Aحجب جميع الرضعات حتى يتحسن الرضيع
Bشفط الأنف برفق قبل الرضعات ومراقبة الترطيب وإشباع الأكسجين
Cالمضادات الحيوية الروتينية
Dوضع الرضيع منبطحًا على بطنه للنوم كي تتصرّف الإفرازات من المجرى الهوائي
5.متوسطة
A child with a myelomeningocele has a neurogenic bladder. Which management is usual?
ARestricting fluids to reduce urine volume
BClean intermittent catheterisation
CA permanent catheter left in place for life
DWaiting for bladder control to develop naturally
6.متوسطة
What is a normal capillary refill time in a child?
A2 seconds or less
B8 to 10 seconds
C5 seconds or less
D15 to 20 seconds
7.صعبة
Which IV fluid is usually used for a fluid bolus in a child with shock?
A0,18% sodium chloride with 4% glucose, given quickly
B5% glucose in water, given as fast as possible
C10% glucose solution
DAn isotonic crystalloid such as 0,9% sodium chloride
8.صعبة
A family speaks little English. Their 10-year-old offers to translate during a discussion about consent for his sister's surgery. What should the nurse do?
AUse simple English and gestures only
BLet the 10-year-old translate to save time
CArrange a professional interpreter
DAsk another patient's visitor who speaks the language
مفتاح الإجابات
1. A · Bouts of coughing that end with a "whoop" on breathing in
2. C · Haemophilus influenzae type b (Hib) vaccine
3. C · A clean, chilled (not frozen) teething ring
4. B · شفط الأنف برفق قبل الرضعات ومراقبة الترطيب وإشباع الأكسجين
5. B · Clean intermittent catheterisation
6. A · 2 seconds or less
7. D · An isotonic crystalloid such as 0,9% sodium chloride
8. C · Arrange a professional interpreter
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