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الاسم: ____________________ التاريخ: ____________
1.سهلة
Which drug is used to keep the ductus arteriosus open in a newborn with a duct-dependent heart defect?
AIntravenous indomethacin
BProstaglandin E1
CDigoxin
DFurosemide
2.سهلة
Which finding on examination is typical of pyloric stenosis?
AA tender mass in the left lower abdomen
BAn olive-shaped mass in the upper abdomen
CA swollen abdomen with no bowel sounds at all
DA soft bulge at the belly button when crying
3.سهلة
Which measure helps an infant with a cleft palate to feed?
AThickening every feed with baby cereal from birth onwards to slow the milk
BFeeding only through a nasogastric tube until school age
CA special bottle or teat, an upright position and frequent burping
DFeeding lying flat to let gravity move the milk along
4.متوسطة
A child with type 1 diabetes is unconscious from hypoglycaemia at school. What should be done?
AGive glucagon and call emergency services
BLet the child sleep and check again in an hour
CGive a glass of orange juice by mouth
DGive the child's usual dose of insulin
5.متوسطة
أي احتياط تمريضي ينطبق على طفل يُشتبه في إصابته بورم ويلمز (الورم الأرومي الكلوي)؟
Aإعطاء حقن شرجية يومية
Bالتشجيع على تدليك البطن بقوة
Cتجنب جس البطن
Dإبقاء الطفل مستلقيًا في السرير أسبوعين
6.متوسطة
A newborn with suspected oesophageal atresia is drooling frothy saliva. What is the immediate nursing care?
AGive a full feed by bottle and observe for vomiting afterwards
BKeep the baby nil by mouth, raise the head and suction the upper pouch as needed
CLay the baby flat and give the next feed slowly through a teat
DOffer small sips of sterile water to check whether the baby can swallow
7.صعبة
A 14-year-old has superficial cuts on her forearms. She says cutting helps her cope and that she does not want to die. What is the best nursing response?
ATreat the wounds, stay calm and non-judgemental, and refer for assessment
BPromise not to tell anyone so that she keeps talking
CTell her firmly that cutting is attention-seeking behaviour and that she must stop now
DAccept that she is not at risk because she says she does not want to die
8.صعبة
A toddler weighed 10 kg before 2 days of diarrhoea and now weighs 9,5 kg. How much has he lost?
A500 g, about 50% of his body weight
B1 kg, about 10% of his body weight
C50 g, about 0,5% of his body weight
D500 g, about 5% of his body weight, mostly fluid
مفتاح الإجابات
1. B · Prostaglandin E1
2. B · An olive-shaped mass in the upper abdomen
3. C · A special bottle or teat, an upright position and frequent burping
4. A · Give glucagon and call emergency services
5. C · تجنب جس البطن
6. B · Keep the baby nil by mouth, raise the head and suction the upper pouch as needed
7. A · Treat the wounds, stay calm and non-judgemental, and refer for assessment
8. D · 500 g, about 5% of his body weight, mostly fluid
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