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الاسم: ____________________ التاريخ: ____________
1.سهلة
What is the main cause of type 1 diabetes in children?
AA lack of glucagon from the alpha cells of the pancreas
BAutoimmune destruction of the insulin-producing beta cells
CToo much insulin being produced by an overactive pancreas
DInsulin resistance caused mainly by obesity and inactivity
2.سهلة
في أي مرحلة من مراحل بياجيه تتطور ديمومة الشيء؟
Aمرحلة ما قبل العمليات
Bمرحلة العمليات الشكلية
Cالمرحلة الحسية الحركية
Dمرحلة العمليات الملموسة
3.سهلة
What does the HbA1c blood test show in a child with diabetes?
AThe amount of insulin the pancreas is making on the day of the test
BThe average blood glucose over about the past 2–3 months
CThe blood glucose at the exact moment of the test
DWhether ketones are present in the blood right now
4.متوسطة
Which statement reflects current guidance about introducing allergenic foods, such as egg and peanut, to infants?
AThey can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
BThey should be given from 6 weeks, mixed into the baby's milk
CThey should be avoided until at least 3 years of age, because early contact is what causes most food allergies
DThey should only be given after a skin prick test in every infant
5.متوسطة
A child is in skin traction for a leg fracture. Which nursing action is correct?
ALet the weights rest on the floor while the child sleeps, so the pull is gentler
BLift the weights off when the child is uncomfortable
CRemove the traction tapes every hour to check the skin
DKeep the weights hanging freely, clear of the bed and floor
6.متوسطة
Which advice is best for a baby with mild nappy rash?
AApply talcum powder thickly at every nappy change
BWipe with perfumed baby wipes at every change to kill the bacteria on the skin
CUse tighter nappies so that less urine reaches the skin
DChange nappies often, clean gently, use a barrier cream and allow nappy-free time
7.صعبة
Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?
AAn abnormal screen that must be followed up promptly under the screening protocol
BNormal transition; no further checks are needed
CA faulty probe or a cold foot; repeat the whole test at the 6-week check
DA normal result, because foot readings are always lower
8.صعبة
Which child should the nurse see first?
AA 4-year-old with asthma who can say only one or two words between breaths
BA 5-month-old with bronchiolitis who has an oxygen saturation of 95% and is feeding
CA 2-year-old with croup who has a barking cough but no stridor at rest
DA 6-year-old with asthma whose peak flow is 85% of his best after salbutamol
مفتاح الإجابات
1. B · Autoimmune destruction of the insulin-producing beta cells
2. C · المرحلة الحسية الحركية
3. B · The average blood glucose over about the past 2–3 months
4. A · They can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
5. D · Keep the weights hanging freely, clear of the bed and floor
6. D · Change nappies often, clean gently, use a barrier cream and allow nappy-free time
7. A · An abnormal screen that must be followed up promptly under the screening protocol
8. A · A 4-year-old with asthma who can say only one or two words between breaths
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