Сестринское дело в педиатрии: лист заданий с ответами

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1.Лёгкая

Which food is a good source of iron for a toddler?

  1. ALarge amounts of cow's milk
  2. BLean red meat or iron-fortified cereal
  3. CApple juice with every meal
  4. DPlain white rice and pasta
2.Лёгкая

The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?

  1. AIt shows brain damage and needs a scan
  2. BIt is a sign of spinal cord compression
  3. CIt is a normal finding at this age
  4. DIt shows the baby is in pain
3.Лёгкая

For which child is a 0 to 10 numerical pain rating scale usually suitable?

  1. AA newborn after a heel prick
  2. BA 3-year-old who cannot yet count
  3. CA 2-year-old with a recent fracture
  4. DA child of about 8 years or older
4.Средняя

A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?

  1. ASkip the meal before the match to avoid high glucose
  2. BAvoid sport, because exercise is unsafe with diabetes
  3. CCheck glucose before playing and keep fast-acting carbohydrate at hand
  4. DInject an extra dose of insulin into the thigh just before he starts running
5.Средняя

Which task can the registered nurse delegate to a healthcare assistant (nursing assistant) on a children's ward?

  1. AAssessing pain after surgery and choosing the analgesia
  2. BMeasuring and recording the vital signs of a stable child
  3. CCarrying out the admission assessment of a new patient
  4. DTeaching a parent how to give insulin injections
6.Средняя

Перед установкой канюли планируют местный анестезирующий крем (лидокаин–прилокаин). Что важно?

  1. AНанести заранее, обычно примерно за 60 минут, под окклюзионную повязку
  2. BНанести за несколько секунд до иглы
  3. CЭнергично втереть в кожу и стереть примерно через 1 минуту, без повязки
  4. DНанести на повреждённую кожу для более быстрого эффекта
7.Сложная

Two children with cystic fibrosis are admitted to the same ward. Which precaution is important?

  1. APut them in the same room so they can support each other
  2. BKeep them apart, not sharing rooms, equipment or play areas
  3. CAsk them to do their daily physiotherapy sessions together in the playroom
  4. DLet them share airway clearance equipment to save resources
8.Сложная

A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?

  1. APreterm babies never reach normal milestones, so no follow-up is needed
  2. BHe is clearly delayed and needs urgent neurological referral
  3. CMilestones are always judged by chronological age, so he is 3 months behind
  4. DMilestones are judged by corrected age, here about 3 months, so this is expected

Ответы

  1. 1. B · Lean red meat or iron-fortified cereal
  2. 2. C · It is a normal finding at this age
  3. 3. D · A child of about 8 years or older
  4. 4. C · Check glucose before playing and keep fast-acting carbohydrate at hand
  5. 5. B · Measuring and recording the vital signs of a stable child
  6. 6. A · Нанести заранее, обычно примерно за 60 минут, под окклюзионную повязку
  7. 7. B · Keep them apart, not sharing rooms, equipment or play areas
  8. 8. D · Milestones are judged by corrected age, here about 3 months, so this is expected

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