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Naam: ____________________ Datum: ____________
1.Makkelijk
Which is the most common type of cancer in children?
AWilms tumour of the kidney
BRetinoblastoma of the eye
COsteosarcoma of the long bones
DAcute lymphoblastic leukaemia
2.Makkelijk
Which is the most common congenital heart defect?
AVentricular septal defect
BTetralogy of Fallot
CTransposition of the great arteries
DCoarctation of the aorta
3.Makkelijk
Which finding is typical of impetigo?
ASilvery scales on the elbows and knees
BTiny burrows between the fingers
CA target-shaped rash with a dusky, pale centre on the palms
DHoney-coloured crusts, often around the nose and mouth
4.Gemiddeld
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
AContinue breastfeeding, and give oral rehydration solution as advised
BGive diluted fruit juice instead of breast milk
CStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
DGive nothing by mouth for 24 hours
5.Gemiddeld
How can the nurse best support a child with autism on a children's ward?
AExplain all procedures only at the very last minute to avoid days of worry
BChange the nurse each shift so the child meets more people
CKeep routines predictable, reduce noise and use visual schedules
DPlace the child in the busiest bay near the nurses' station
6.Gemiddeld
Which factors can trigger a sickle cell crisis?
AEating a high-iron diet and taking daily multivitamins
BDehydration, infection, cold and low oxygen
CSleeping for long periods in a warm room
DDrinking plenty of water during hot weather
7.Moeilijk
A child with cyanotic heart disease and polycythaemia has a fever and vomiting. Why is dehydration especially dangerous?
AIt causes the heart defect to close on its own
BIt makes the blood even thicker and raises the risk of stroke and thrombosis
CIt lowers the red cell count and causes severe anaemia
DIt leads to fluid overload and pulmonary oedema as the kidneys hold on to water
8.Moeilijk
Een peuter met croup heeft nu stridor in rust, is onrustig en heeft duidelijke intrekkingen van de borstkas. Wat is de prioriteit?
AHet kind plat leggen om te rusten
BDe keel met een tongspatel onderzoeken om de oorzaak van de luidruchtige ademhaling te zoeken
CDringend medische hulp halen; dit is ernstige croup die mogelijk vernevelde epinefrine nodig heeft
DHet kind naar huis sturen met hoestmedicijn
Antwoordenblad
1. D · Acute lymphoblastic leukaemia
2. A · Ventricular septal defect
3. D · Honey-coloured crusts, often around the nose and mouth
4. A · Continue breastfeeding, and give oral rehydration solution as advised
5. C · Keep routines predictable, reduce noise and use visual schedules
6. B · Dehydration, infection, cold and low oxygen
7. B · It makes the blood even thicker and raises the risk of stroke and thrombosis
8. C · Dringend medische hulp halen; dit is ernstige croup die mogelijk vernevelde epinefrine nodig heeft
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