1.쉬움
대천문은 보통 몇 개월경에 닫히나요?
- A출생 시
- B12~18개월
- C4~6세
- D2~3개월
2.쉬움
Which feature is typical of whooping cough (pertussis) in an older child?
- AA wheeze heard only on breathing out, with a runny nose
- BBouts of coughing that end with a "whoop" on breathing in
- CA barking cough and a hoarse voice that are worse at night
- DDrooling, a high fever and difficulty swallowing saliva
3.쉬움
Which treatment, given early, reduces the risk of heart damage in Kawasaki disease?
- AAntiviral medicine such as aciclovir
- BIntravenous immunoglobulin (IVIG)
- COral antibiotics for 10 days
- DInsulin and fluids
4.보통
How are feeds usually restarted after a pyloromyotomy for pyloric stenosis?
- AOnly by nasogastric tube for the first month at home
- BWith large, full-volume feeds straight away to make up for the weight lost
- CNot until 10 days after surgery, when the wound has healed
- DWithin hours, increasing gradually as per protocol; some vomiting can be expected
5.보통
A 15-year-old seems very low in mood. Is it safe for the nurse to ask directly about suicidal thoughts?
- AYes; asking directly does not increase the risk and helps find those who need help
- BOnly if the parents give written permission first
- CNo; asking about suicide may put the idea into the young person's head and raise the risk
- DNo; only a psychiatrist is allowed to ask this question
6.보통
Which statement reflects current guidance about introducing allergenic foods, such as egg and peanut, to infants?
- AThey should be given from 6 weeks, mixed into the baby's milk
- BThey should only be given after a skin prick test in every infant
- CThey should be avoided until at least 3 years of age, because early contact is what causes most food allergies
- DThey can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
7.어려움
A child on a morphine infusion is very hard to wake, with a respiratory rate of 8 per minute and pinpoint pupils. What should the nurse do first?
- AStop the infusion, support breathing and give naloxone as per protocol
- BReduce the infusion rate slightly and recheck the child's breathing in an hour
- CGive a sedative to keep the child calm
- DLet the child sleep, as this shows the pain is controlled
8.어려움
Which finding in a teenager with anorexia nervosa most clearly suggests the need for hospital admission?
- AMissing one menstrual period after starting a new diet
- BWanting to exercise every day
- CFainting episodes with a very slow heart rate and low potassium
- DWeighing 2 kg less than at last month's clinic visit
정답표
- 1. B · 12~18개월
- 2. B · Bouts of coughing that end with a "whoop" on breathing in
- 3. B · Intravenous immunoglobulin (IVIG)
- 4. D · Within hours, increasing gradually as per protocol; some vomiting can be expected
- 5. A · Yes; asking directly does not increase the risk and helps find those who need help
- 6. D · They can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
- 7. A · Stop the infusion, support breathing and give naloxone as per protocol
- 8. C · Fainting episodes with a very slow heart rate and low potassium
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