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1.سهلة
Which signs suggest a urinary tract infection in an infant?
AFever, poor feeding, vomiting and irritability
BClear complaints of burning and stinging when passing urine
CPain in the lower back that the baby points to
DA clear runny nose and a mild cough
2.سهلة
Which finding inside the mouth is typical of early measles?
AA thick white coating on the tongue and cheeks that can be wiped off
BA bright red "strawberry" tongue with large papillae
CPainful blisters on the tongue, gums and palate
DKoplik spots: small white spots on the inside of the cheeks
3.سهلة
What is the most serious complication of Kawasaki disease?
AKidney failure needing dialysis
BDiabetes mellitus
CCoronary artery aneurysms
DPermanent hearing loss
4.متوسطة
Which signs suggest digoxin toxicity in a child?
AHigh fever with a spreading red rash
BIncreased appetite, extra energy and rapid weight gain over a few days
CFast heart rate with high blood pressure
DNausea, vomiting, poor feeding and a slow heart rate
5.متوسطة
A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?
AGive her a drink straight away to prevent dehydration
BWake her fully every few minutes and ask her to stand up and walk around
CLeave her alone in a dark room to sleep it off
DPlace her in the recovery position and monitor airway and breathing
6.متوسطة
Why do young children with sickle cell disease usually take daily penicillin?
APenicillin prevents pain crises in cold weather
BSickle cells make the child allergic to most other antibiotics
CPenicillin stops red cells from changing shape
DPoor spleen function puts them at high risk of pneumococcal infection
7.صعبة
Which statement by the parent of a child with peanut allergy shows a need for further teaching?
A"I'll read food labels for peanuts every time I shop."
B"If she has a bad reaction, I'll give an antihistamine and wait an hour before using the auto-injector."
C"I'll call an ambulance every time I use the auto-injector, even if she seems to recover quickly."
D"I'll check the use-by date on her auto-injectors regularly and replace them before they expire."
8.صعبة
A few weeks after diagnosis of type 1 diabetes, a child's insulin needs fall a lot. The parents think the diabetes is cured. What should the nurse explain?
AThe diabetes has turned into type 2 diabetes
BThe child has become insulin resistant and now needs tablets instead of injections
CThe diagnosis was probably wrong, and insulin can be stopped
DThis is the temporary "honeymoon" phase; insulin is still needed
مفتاح الإجابات
1. A · Fever, poor feeding, vomiting and irritability
2. D · Koplik spots: small white spots on the inside of the cheeks
3. C · Coronary artery aneurysms
4. D · Nausea, vomiting, poor feeding and a slow heart rate
5. D · Place her in the recovery position and monitor airway and breathing
6. D · Poor spleen function puts them at high risk of pneumococcal infection
7. B · "If she has a bad reaction, I'll give an antihistamine and wait an hour before using the auto-injector."
8. D · This is the temporary "honeymoon" phase; insulin is still needed
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