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Naam: ____________________ Datum: ____________
1.Makkelijk
Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?
A2000 mL per day
B1000 mL per day
C500 mL per day
D1500 mL per day
2.Makkelijk
Which finding in the fingers is typical of long-standing cyanotic heart disease?
AClubbing of the fingertips
BSwan-neck deformity of the fingers
CWebbing between the fingers
DSpoon-shaped, thin nails
3.Makkelijk
Which is the most common congenital heart defect?
ATransposition of the great arteries
BVentricular septal defect
CTetralogy of Fallot
DCoarctation of the aorta
4.Gemiddeld
Which medicine may be used to close a patent ductus arteriosus in a preterm baby?
AIbuprofen or indomethacin
BProstaglandin E1
CIntravenous furosemide infusion
DSalbutamol
5.Gemiddeld
A child's asthma action plan shows he is in the yellow zone. What should he do?
AGo straight to the emergency department without using any medicine first
BDouble the preventer dose and do nothing else
CUse the reliever as the plan says and contact the doctor if it does not help
DStop all medicines and wait to see if the symptoms pass
6.Gemiddeld
A child with a known peanut allergy is starting school. What is the most important step?
AAllowing the child to eat only foods brought by classmates
BKeeping the auto-injector at home, so that it cannot be lost or misused by other children
CAsking the child to tell the teachers if she feels unwell
DA written allergy action plan, with in-date auto-injectors and trained staff
7.Moeilijk
A boy with haemophilia A bumps his head hard on a table. He seems well. What should the nurse advise?
ANo action is needed, because head bleeds are rare in haemophilia
BGive aspirin for the pain and apply ice to the bump
CWatch him at home for a week and bring him in only if he vomits or has a headache
DSeek urgent care, as factor replacement may be needed before symptoms appear
8.Moeilijk
A 9-year-old with Down syndrome has new neck pain, clumsy walking and changes in bladder control. What should the nurse suspect?
AThe normal low muscle tone of Down syndrome getting worse with age
BAtlantoaxial instability with spinal cord compression
CA simple urinary infection causing tiredness
DGrowing pains in the legs
Antwoordenblad
1. B · 1000 mL per day
2. A · Clubbing of the fingertips
3. B · Ventricular septal defect
4. A · Ibuprofen or indomethacin
5. C · Use the reliever as the plan says and contact the doctor if it does not help
6. D · A written allergy action plan, with in-date auto-injectors and trained staff
7. D · Seek urgent care, as factor replacement may be needed before symptoms appear
8. B · Atlantoaxial instability with spinal cord compression
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