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الاسم: ____________________ التاريخ: ____________
1.سهلة
ما أكبر مصدر للكرب عادةً عند الطفل الدارج المقيم في المستشفى؟
Aالانفصال عن الوالدين
Bالتغيب عن المدرسة
Cتغيّر المظهر
Dالخوف من الموت
2.سهلة
How is Duchenne muscular dystrophy inherited?
AIt is not inherited and is caused by an infection
BAutosomal dominant, affecting both sexes equally
CAutosomal recessive, mainly affecting girls
DX-linked recessive, so it mainly affects boys
3.سهلة
What is the main cause of type 1 diabetes in children?
AA lack of glucagon from the alpha cells of the pancreas
BToo much insulin being produced by an overactive pancreas
CInsulin resistance caused mainly by obesity and inactivity
DAutoimmune destruction of the insulin-producing beta cells
4.متوسطة
طفلة عمرها 3 سنوات كانت تتكلم بجمل قصيرة توقفت عن الكلام ولم تعد تستجيب لاسمها. ما النقطة الأهم؟
Aتتطور اللغة بطفرات مفاجئة، لذلك هذا متوقع
Bيعني أن الطفلة متعبة وينبغي عرضها بعد سنة
Cفقدان المهارات المكتسبة سابقًا في أي عمر يتطلب تقييمًا سريعًا
Dهذا نكوص طبيعي في هذا العمر
5.متوسطة
Why should a child with diabetes rotate insulin injection sites?
ATo stop the insulin from becoming less effective over the years
BTo prevent lumpy fatty areas that absorb insulin unpredictably
CTo make sure each part of the body gets the same amount of insulin
DBecause the same site causes an allergy to insulin
6.متوسطة
Which measure should be avoided in a sickle cell pain crisis?
AGenerous fluids by mouth or IV
BRegular pain assessment and analgesia
CWarm packs and gentle positioning
DCold packs on the painful area
7.صعبة
A 5-year-old insists that a tall, thin glass holds more juice than a short, wide glass, although he saw the same amount poured into each. What explains this?
AIt is a sign of intellectual disability that needs assessment
BHe has not yet developed conservation, which is typical of the preoperational stage
CHe has a visual problem and needs an eye examination
DHe is showing abstract reasoning typical of the formal operational stage
8.صعبة
A 14-year-old took a large overdose of paracetamol (acetaminophen) 4 hours ago and says she feels fine. What should the nurse understand?
ALiver damage develops over days, so urgent acetylcysteine may still be needed
BSince she feels well, the overdose was too small to be harmful
CParacetamol is not toxic, so she only needs a psychiatric assessment
DTreatment is only useful if started within 30 minutes, so it is now too late to help
مفتاح الإجابات
1. A · الانفصال عن الوالدين
2. D · X-linked recessive, so it mainly affects boys
3. D · Autoimmune destruction of the insulin-producing beta cells
4. C · فقدان المهارات المكتسبة سابقًا في أي عمر يتطلب تقييمًا سريعًا
5. B · To prevent lumpy fatty areas that absorb insulin unpredictably
6. D · Cold packs on the painful area
7. B · He has not yet developed conservation, which is typical of the preoperational stage
8. A · Liver damage develops over days, so urgent acetylcysteine may still be needed
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