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الاسم: ____________________ التاريخ: ____________
1.سهلة
For which child is a 0 to 10 numerical pain rating scale usually suitable?
AA child of about 8 years or older
BA 3-year-old who cannot yet count
CA newborn after a heel prick
DA 2-year-old with a recent fracture
2.سهلة
What type of vaccine is the measles–mumps–rubella (MMR) vaccine?
AAn inactivated toxoid vaccine
BA conjugate polysaccharide vaccine
CA live attenuated vaccine
DAn mRNA vaccine
3.سهلة
Where is the pain of appendicitis typically felt once it has localised?
AIn the right lower abdomen
BIn the left lower abdomen
CAround the left shoulder blade
DIn the upper middle abdomen only
4.متوسطة
A newborn is still wet a few minutes after birth. Which heat-loss mechanism is the main concern, and how is it prevented?
ARadiation; move the cot close to an outside window
BEvaporation; dry the baby straight away, including the head
CConvection; leave the baby uncovered in a draught
DConduction; place the baby on a cold firm surface
5.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
CWake her fully every few minutes and ask her to stand up and walk around
DGive her a drink straight away to prevent dehydration
6.متوسطة
عند طفل مصاب بصدمة نقص الحجم، أي علامة تُعدّ عادةً علامة متأخرة؟
Aتسرع القلب
Bانخفاض ضغط الدم
Cبرودة الأطراف
Dإطالة زمن ملء الشعيرات
7.صعبة
A child with a new forearm cast has severe pain not relieved by analgesia and screams when the nurse gently moves the fingers. What should the nurse suspect?
AItching under the cast; give an antihistamine
BAnxiety; distract the child with play
CCompartment syndrome; report it at once
DNormal pain after a fracture; give more time
8.صعبة
A boy with haemophilia A bumps his head hard on a table. He seems well. What should the nurse advise?
AWatch him at home for a week and bring him in only if he vomits or has a headache
BSeek urgent care, as factor replacement may be needed before symptoms appear
CGive aspirin for the pain and apply ice to the bump
DNo action is needed, because head bleeds are rare in haemophilia
مفتاح الإجابات
1. A · A child of about 8 years or older
2. C · A live attenuated vaccine
3. A · In the right lower abdomen
4. B · Evaporation; dry the baby straight away, including the head
5. B · Place her in the recovery position and monitor airway and breathing
6. B · انخفاض ضغط الدم
7. C · Compartment syndrome; report it at once
8. B · Seek urgent care, as factor replacement may be needed before symptoms appear
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