1.ง่าย
Which two vessels does the ductus arteriosus connect?
- AThe right atrium and the left atrium
- BThe pulmonary artery and the aorta
- CThe superior vena cava and the right atrium
- DThe umbilical vein and the inferior vena cava
2.ง่าย
What causes respiratory distress syndrome in preterm babies?
- AA lack of surfactant in the immature lungs
- BA viral infection caught from the mother
- CInhaling meconium-stained fluid during birth
- DAn allergy to the oxygen used in the incubator
3.ง่าย
Which symptoms are classic for new type 1 diabetes in a child?
- AJoint pain, a rash on the face and hair loss
- BThirst, frequent urination, weight loss and tiredness
- CA barking cough, fever and a hoarse voice
- DWeight gain, feeling cold and long-standing constipation
4.ปานกลาง
A 6-month-old's left eye turns inwards all the time. What should the nurse do?
- AAdvise them to wait until the child can read letters
- BRefer the baby to an eye specialist
- CReassure the parents that this always resolves by school age
- DCover the right eye with a patch at home without review
5.ปานกลาง
เหตุใดจึงใช้แอสไพรินในโรคคาวาซากิทั้งที่โดยทั่วไปหลีกเลี่ยงในเด็ก?
- Aใช้เป็นยาแก้ปวดสำหรับผื่นและปวดข้อเท่านั้น และหยุดเมื่อไข้ลดลง
- Bลดการอักเสบและความเสี่ยงของลิ่มเลือดในหลอดเลือดหัวใจ ภายใต้การดูแลของผู้เชี่ยวชาญ
- Cรักษาการติดเชื้อที่เป็นสาเหตุของโรค
- Dป้องกันกลุ่มอาการเรย์
6.ปานกลาง
How is urine output measured in an infant wearing nappies?
- AEstimate it from how heavy the nappy feels in the hand
- BSqueeze the nappy out into a measuring jug and read the volume
- CWeigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
- DCount only the number of nappy changes in each shift
7.ยาก
A child with cyanotic heart disease and polycythaemia has a fever and vomiting. Why is dehydration especially dangerous?
- AIt leads to fluid overload and pulmonary oedema as the kidneys hold on to water
- BIt causes the heart defect to close on its own
- CIt makes the blood even thicker and raises the risk of stroke and thrombosis
- DIt lowers the red cell count and causes severe anaemia
8.ยาก
A 7-year-old has had morning headaches and vomiting for several weeks, now with clumsiness. What should the nurse suspect?
- AViral gastroenteritis
- BMigraine caused by stress at school
- CA brain tumour with raised intracranial pressure
- DA need for new glasses because of eye strain
เฉลย
- 1. B · The pulmonary artery and the aorta
- 2. A · A lack of surfactant in the immature lungs
- 3. B · Thirst, frequent urination, weight loss and tiredness
- 4. B · Refer the baby to an eye specialist
- 5. B · ลดการอักเสบและความเสี่ยงของลิ่มเลือดในหลอดเลือดหัวใจ ภายใต้การดูแลของผู้เชี่ยวชาญ
- 6. C · Weigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
- 7. C · It makes the blood even thicker and raises the risk of stroke and thrombosis
- 8. C · A brain tumour with raised intracranial pressure
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