1.ง่าย
How should an infant with gastro-oesophageal reflux be placed to sleep?
- ASitting up in a car seat all night
- BOn the back, as for all babies
- COn the left side, wedged with pillows
- DOn the tummy to reduce reflux
2.ง่าย
How should a dose of half a milligram be written?
- A0.5 mg
- B.5 mg
- C5.0 mg
- D0.50 mg
3.ง่าย
Which side effects are common after a dose of salbutamol?
- AOral thrush and a hoarse voice
- BDrowsiness and slow breathing
- CWeight gain and high blood sugar
- DTremor and a fast heart rate
4.ปานกลาง
Until when is a child with chickenpox usually considered infectious?
- AFor 6 weeks after the rash appears
- BUntil all the blisters have crusted over
- CUntil the fever has gone for 24 hours
- DOnly during the day before the rash appears
5.ปานกลาง
How should the nurse measure the heart rate of a 9-month-old?
- ACount the carotid pulse for 30 seconds and multiply by 2
- BCount the apical pulse for a full minute
- CCount the radial pulse for 15 seconds and multiply by 4
- DRead it from the pulse oximeter only
6.ปานกลาง
After a cardiac catheterisation through the femoral artery, which assessment is essential?
- APupil size and reaction every 15 minutes
- BUrine specific gravity at every void
- CBowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
- DPulse, colour, warmth and sensation of the leg below the puncture site
7.ยาก
How is pain best assessed in a 10-year-old with severe cerebral palsy who cannot speak?
- AWith a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues
- BOnly by checking whether the heart rate is above normal
- CPain cannot be assessed, so analgesia is given only on request
- DWith a 0–10 numerical scale, by asking the child to point to a number on a printed chart
8.ยาก
The nurse has taught the parents of a newborn about safe sleep. Which statement shows a need for further teaching?
- A"Nobody will smoke in the house or in the car."
- B"We will put a soft bumper and a pillow in the cot so she is comfortable."
- C"We will keep her cot in our bedroom for the first months."
- D"We will put her on her back for every sleep, including naps."
เฉลย
- 1. B · On the back, as for all babies
- 2. A · 0.5 mg
- 3. D · Tremor and a fast heart rate
- 4. B · Until all the blisters have crusted over
- 5. B · Count the apical pulse for a full minute
- 6. D · Pulse, colour, warmth and sensation of the leg below the puncture site
- 7. A · With a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues
- 8. B · "We will put a soft bumper and a pillow in the cot so she is comfortable."
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