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الاسم: ____________________ التاريخ: ____________
1.سهلة
At which times after birth is the Apgar score routinely assessed?
AAt 1 minute and at 5 minutes
BAt 10 minutes and at 30 minutes
COnly once, at 24 hours of age
DAt birth and again at 1 hour
2.سهلة
Which signs suggest a urinary tract infection in an infant?
AFever, poor feeding, vomiting and irritability
BClear complaints of burning and stinging when passing urine
CPain in the lower back that the baby points to
DA clear runny nose and a mild cough
3.سهلة
Which early sign may suggest autism in a toddler?
ABeing shy with strangers at 9 months
BPreferring to play next to other toddlers rather than with them
CNot pointing to show interest and little eye contact by about 18 months
DSaying "no" often and having tantrums at 2 years
4.متوسطة
How can the nurse best support a child with autism on a children's ward?
APlace the child in the busiest bay near the nurses' station
BKeep routines predictable, reduce noise and use visual schedules
CExplain all procedures only at the very last minute to avoid days of worry
DChange the nurse each shift so the child meets more people
5.متوسطة
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
AJaundice, because the breakdown of the trapped blood adds to bilirubin
BHead circumference twice daily, because it signals hydrocephalus
CUrine colour, because the swelling causes kidney damage
DBlood pressure, because the swelling causes hypertension
6.متوسطة
What is "assent" in children's care?
AThe doctor's decision about which treatment is best
BThe legal consent signed by the parent for surgery
CA form that lets the hospital treat any child without parental consent
DThe child's agreement to care, sought alongside the parents' consent
7.صعبة
Only one negative-pressure room is available. Which child should be placed in it?
AA child with RSV bronchiolitis
BA child with norovirus gastroenteritis and vomiting
CA child with impetigo
DA child with suspected measles
8.صعبة
Which child should the nurse see first?
AA 2-year-old with croup who has a barking cough but no stridor at rest
BA 6-year-old with asthma whose peak flow is 85% of his best after salbutamol
CA 5-month-old with bronchiolitis who has an oxygen saturation of 95% and is feeding
DA 4-year-old with asthma who can say only one or two words between breaths
مفتاح الإجابات
1. A · At 1 minute and at 5 minutes
2. A · Fever, poor feeding, vomiting and irritability
3. C · Not pointing to show interest and little eye contact by about 18 months
4. B · Keep routines predictable, reduce noise and use visual schedules
5. A · Jaundice, because the breakdown of the trapped blood adds to bilirubin
6. D · The child's agreement to care, sought alongside the parents' consent
7. D · A child with suspected measles
8. D · A 4-year-old with asthma who can say only one or two words between breaths
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