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1.سهلة
Why are breastfed infants often given a vitamin D supplement?
ABreast milk contains too little protein for growth
BBreast milk contains little vitamin D
CVitamin D prevents iron-deficiency anaemia
DVitamin D prevents newborn jaundice
2.سهلة
Which finding inside the mouth is typical of early measles?
AA thick white coating on the tongue and cheeks that can be wiped off
BA bright red "strawberry" tongue with large papillae
CKoplik spots: small white spots on the inside of the cheeks
DPainful blisters on the tongue, gums and palate
3.سهلة
What is cerebral palsy?
AA non-progressive disorder of movement and posture from damage to the developing brain
BA genetic disorder of collagen that makes the bones break easily
CA progressive muscle disease in which muscle fibres are slowly replaced by fat
DAn infection of the spinal cord that causes sudden paralysis of the legs
4.متوسطة
What should the nurse do before giving a dose of digoxin to an infant?
AMeasure the temperature and give the dose only if there is no fever
BCount the apical pulse for a full minute and check it against the prescribed limits
CCount the radial pulse for 15 seconds and multiply by four
DMeasure the blood pressure and give the dose only if it is above the normal range
5.متوسطة
How should an infant with heart failure be fed?
ALarge feeds every 6 hours so the baby can rest in between
BSmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
CStop the feed when the baby tires and wait until the next scheduled feed
DLying flat on the back so the baby does not need to hold the head up
6.متوسطة
Which finding may suggest that a school-age child is being bullied?
AWanting to collect trading cards and play team games with classmates
BEnjoying school clubs and inviting friends home
CNot wanting to go to school, lost belongings and frequent stomach aches
DArguing with a sibling about the TV remote
7.صعبة
A child has had many hospital admissions with unexplained symptoms. They occur only when the mother is present and stop when the child is apart from her. What should the nurse consider?
AFabricated or induced illness; follow safeguarding procedures
BThe child is pretending to be ill to avoid school
CA rare genetic disorder that needs more tests at once
DThe ward environment or hospital food is causing the symptoms
8.صعبة
A 4-year-old has had pallor, tiredness, bruising, bone pain and fevers for 3 weeks. What is the most important next step?
AReassurance that these are growing pains that will pass with time
BA course of antibiotics for a viral infection
CAn urgent full blood count to look for leukaemia
DIron supplements for 3 months, then review
مفتاح الإجابات
1. B · Breast milk contains little vitamin D
2. C · Koplik spots: small white spots on the inside of the cheeks
3. A · A non-progressive disorder of movement and posture from damage to the developing brain
4. B · Count the apical pulse for a full minute and check it against the prescribed limits
5. B · Small, frequent feeds with rest breaks, using higher-energy milk if prescribed
6. C · Not wanting to go to school, lost belongings and frequent stomach aches
7. A · Fabricated or induced illness; follow safeguarding procedures
8. C · An urgent full blood count to look for leukaemia
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