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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which sweetener must children with phenylketonuria (PKU) avoid?
AFructose
BGlucose
CSucrose
DAspartame
2.سهلة
Why must a toddler never be left alone in the bath, even for a moment?
AA young child can drown silently in a few centimetres of water
BThe bath water cools quickly and causes hypothermia
CSoap left on the skin irritates a toddler's skin
DA toddler left alone gets bored, cries and tries to climb out of the bath
3.سهلة
أي مدى لمعدل نبض القلب نموذجي لحديث الولادة السليم أثناء الراحة؟
Aنحو 200 إلى 260 نبضة في الدقيقة
Bنحو 110 إلى 160 نبضة في الدقيقة
Cنحو 60 إلى 100 نبضة في الدقيقة
Dنحو 70 إلى 110 نبضات في الدقيقة
4.متوسطة
The parents of a 2-year-old worry that she eats much less than she did as a baby. She is growing along her centile. What should the nurse advise?
AAppetite falls as growth slows; offer small, healthy portions without pressure
BGive extra bottles of milk to make up for the meals she refuses
CEncourage her to finish every meal, even if this takes a long time at the table
DThis is a sign of illness and she needs blood tests
5.متوسطة
Which advice about screen use reflects common paediatric guidance for children under about 18 months?
ABackground TV helps language development
BAvoid screen media, apart from video calls with family
CUp to 2 hours a day of educational TV programmes is beneficial for language
DScreens are fine as long as the volume is low
6.متوسطة
قبل جراحة القيلة السحائية النخاعية (myelomeningocele)، كيف يُحمى كيس حديث الولادة؟
Aوضع الطفل على ظهره مع حلقة ناعمة حول الكيس لتدعمه على الفراش
Bتركه مكشوفًا ليجف
Cتغطيته بضمادة معقمة رطبة غير لاصقة ووضع الطفل منبطحًا
Dوضع ضمادة محكمة جافة
7.صعبة
A 3-month-old has large, flat, blue-grey patches over the lower back and buttocks. The parents say they have been there since birth. What is the best action?
AReport them straight away to the safeguarding team as suspected physical abuse
BDocument them with size and location as congenital dermal melanocytosis (Mongolian spots)
CRequest urgent clotting tests and a full blood count to look for a bleeding disorder
DApply cold packs several times a day to reduce the discoloration
8.صعبة
A 12-year-old with asthma has been prescribed a preventer inhaler (inhaled corticosteroid) to take every day. Which statement shows a need for further teaching?
A"I stop taking my preventer inhaler whenever I've had a few good days."
B"I rinse my mouth after using my preventer inhaler."
C"I use my spacer with my inhaler, even at school."
D"I carry my reliever inhaler with me everywhere I go."
مفتاح الإجابات
1. D · Aspartame
2. A · A young child can drown silently in a few centimetres of water
3. B · نحو 110 إلى 160 نبضة في الدقيقة
4. A · Appetite falls as growth slows; offer small, healthy portions without pressure
5. B · Avoid screen media, apart from video calls with family
6. C · تغطيته بضمادة معقمة رطبة غير لاصقة ووضع الطفل منبطحًا
7. B · Document them with size and location as congenital dermal melanocytosis (Mongolian spots)
8. A · "I stop taking my preventer inhaler whenever I've had a few good days."
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