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1.سهلة
Which transmission-based precautions are used for a hospitalised child with chickenpox?
AStandard precautions only
BDroplet precautions only, in a shared bay
CAirborne and contact precautions
DContact precautions only
2.سهلة
What is the usual normal range for the platelet count?
AAbout 150 to 400 × 109/L
BAbout 15 to 40 × 109/L
CAbout 4 to 11 × 109/L
DAbout 1,500 to 4,000 × 109/L
3.سهلة
Where should eye drops be placed for a child?
AInto the inner corner of the eye
BDirectly onto the centre of the cornea
CInto the pocket of the lower eyelid
DOnto the upper eyelid while the eye is shut
4.متوسطة
A 6-year-old with a life-limiting illness asks the nurse, "Am I going to die?" What is the best response?
ATell the child that only the doctor is allowed to talk about this subject with children
BChange the subject quickly so the child is not upset
CTell the child firmly that this will not happen
DFind out what prompted the question, then answer honestly and simply, with the family
5.متوسطة
Which instruction about a child's new plaster cast is correct?
AKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
BPush a knitting needle inside the cast to scratch an itch
CLet the child walk on a leg cast as soon as it is applied
DKeep the limb raised and report increasing pain, numbness or pale or blue fingers
6.متوسطة
A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?
ALeave her alone in a dark room to sleep it off
BPlace her in the recovery position and monitor airway and breathing
CGive her a drink straight away to prevent dehydration
DWake her fully every few minutes and ask her to stand up and walk around
7.صعبة
Five minutes after IM adrenaline for anaphylaxis, a child is still wheezing and has a low blood pressure. What should the nurse do?
AGive a further dose of IM adrenaline as per protocol and call for advanced help
BWait 30 minutes for the first dose of adrenaline to take its full effect
CSit the child up and walk her around to raise the blood pressure
DGive an oral antihistamine and a steroid instead of more adrenaline
8.صعبة
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
ABlood cultures and prompt IV antibiotics for possible osteomyelitis
BMassage and physiotherapy to loosen the muscle
CA plaster cast and discharge home the same day
DRest, ice and an elastic bandage for a sprained ankle, with review in a week
مفتاح الإجابات
1. C · Airborne and contact precautions
2. A · About 150 to 400 × 109/L
3. C · Into the pocket of the lower eyelid
4. D · Find out what prompted the question, then answer honestly and simply, with the family
5. D · Keep the limb raised and report increasing pain, numbness or pale or blue fingers
6. B · Place her in the recovery position and monitor airway and breathing
7. A · Give a further dose of IM adrenaline as per protocol and call for advanced help
8. A · Blood cultures and prompt IV antibiotics for possible osteomyelitis
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