Сестринское дело в педиатрии: лист заданий с ответами

At about what age do most children start combining two words, such as "more milk"?

1. AAbout 4 years
2. BAbout 12 months
3. CAbout 9 months
4. DAbout 2 years

Which teething remedy is generally recommended for infants?

1. ARubbing honey on the gums before sleep
2. BA clean, chilled (not frozen) teething ring
3. CAn amber teething necklace worn day and night
4. DA gel containing the local anaesthetic benzocaine

Which treatment, given early, reduces the risk of heart damage in Kawasaki disease?

1. AOral antibiotics for 10 days
2. BIntravenous immunoglobulin (IVIG)
3. CAntiviral medicine such as aciclovir
4. DInsulin and fluids

A 13-year-old with scoliosis has been prescribed a brace. Which teaching is most important?

1. AWear it over thick clothing to make it more comfortable
2. BWear it only when the back hurts, then take it off
3. CWear it for the prescribed hours each day, with a thin cotton shirt underneath
4. DWear it only at weekends and in the holidays, when it does not interfere with school

Which statement reflects current guidance about introducing allergenic foods, such as egg and peanut, to infants?

1. AThey should be avoided until at least 3 years of age, because early contact is what causes most food allergies
2. BThey can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
3. CThey should only be given after a skin prick test in every infant
4. DThey should be given from 6 weeks, mixed into the baby's milk

A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?

1. AGive her a drink straight away to prevent dehydration
2. BPlace her in the recovery position and monitor airway and breathing
3. CWake her fully every few minutes and ask her to stand up and walk around
4. DLeave her alone in a dark room to sleep it off

A 4-year-old has had pallor, tiredness, bruising, bone pain and fevers for 3 weeks. What is the most important next step?

1. AAn urgent full blood count to look for leukaemia
2. BA course of antibiotics for a viral infection
3. CReassurance that these are growing pains that will pass with time
4. DIron supplements for 3 months, then review

Which child is most appropriate to assign to a practical (enrolled) nurse?

1. AAn infant with bronchiolitis who needs more and more oxygen
2. BA 7-year-old 2 days after an appendicectomy, stable on oral analgesia
3. CA 9-year-old newly admitted with diabetic ketoacidosis on an insulin infusion
4. DA 5-year-old just back from tonsillectomy who keeps swallowing