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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is usually the first sign of puberty in girls?
ARapid weight loss
BBreast budding
CUnderarm hair
DFirst menstrual period
2.سهلة
What is the HEADSS (or HEEADSSS) assessment used for?
AA scale for scoring dehydration in infants
BA structured psychosocial interview with adolescents
CA screening test for newborn hearing before discharge
DA pain score for children who cannot speak
3.سهلة
At about what age can most infants sit steadily without support?
AAbout 2 to 3 months
BAbout 18 to 24 months
CAbout 6 to 8 months
DAbout 12 to 15 months
4.متوسطة
Which non-drug technique suits a 5-year-old during a cannula insertion?
ABeing left alone so the child can concentrate
BReading a detailed leaflet about the procedure
CBlowing bubbles or looking at a pop-up book
DDoing slow breathing exercises with a numeric scale
5.متوسطة
An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?
ASerum potassium
BPlatelet count
CSerum bilirubin
DSerum amylase and lipase
6.متوسطة
Which instruction about a child's new plaster cast is correct?
AKeep the limb raised and report increasing pain, numbness or pale or blue fingers
BPush a knitting needle inside the cast to scratch an itch
CKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
DLet the child walk on a leg cast as soon as it is applied
7.صعبة
A 3-month-old has large, flat, blue-grey patches over the lower back and buttocks. The parents say they have been there since birth. What is the best action?
AReport them straight away to the safeguarding team as suspected physical abuse
BDocument them with size and location as congenital dermal melanocytosis (Mongolian spots)
CRequest urgent clotting tests and a full blood count to look for a bleeding disorder
DApply cold packs several times a day to reduce the discoloration
8.صعبة
After hypospadias repair, a toddler has a urinary catheter. Which nursing action has priority?
AClamp the catheter for a few hours to train the bladder
BRemove the dressing on the first day to check the wound
CKeep the catheter draining freely and check for kinks or blockage
DLimit fluids for the first days so that less urine passes over the repair
مفتاح الإجابات
1. B · Breast budding
2. B · A structured psychosocial interview with adolescents
3. C · About 6 to 8 months
4. C · Blowing bubbles or looking at a pop-up book
5. A · Serum potassium
6. A · Keep the limb raised and report increasing pain, numbness or pale or blue fingers
7. B · Document them with size and location as congenital dermal melanocytosis (Mongolian spots)
8. C · Keep the catheter draining freely and check for kinks or blockage
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