1.ง่าย
Which symptom is typical of threadworm (pinworm) infection in a child?
- AA red, ring-shaped rash on the scalp
- BA high fever with bloody diarrhoea
- CItching around the anus, especially at night
- DVomiting after every meal for a week, with weight loss
2.ง่าย
Which is the most common congenital heart defect?
- ATransposition of the great arteries
- BTetralogy of Fallot
- CVentricular septal defect
- DCoarctation of the aorta
3.ง่าย
Egocentrism and magical thinking are typical of which of Piaget's stages?
- APreoperational stage (about 2 to 7 years)
- BSensorimotor stage (birth to about 2 years)
- CConcrete operational stage (about 7 to 11 years)
- DFormal operational stage (about 11 years onwards)
4.ปานกลาง
The nurse uses a blood pressure cuff that is too small for a child's arm. What effect will this have?
- AThe cuff will not inflate at all
- BThe reading will be accurate but slower to obtain
- CThe reading will be falsely low
- DThe reading will be falsely high
5.ปานกลาง
How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?
- AIt increases fetal haemoglobin, which reduces sickling
- BIt kills bacteria in the blood and prevents infections
- CIt removes extra iron after blood transfusions
- DIt replaces the missing clotting factors
6.ปานกลาง
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
- AHead circumference twice daily, because it signals hydrocephalus
- BUrine colour, because the swelling causes kidney damage
- CBlood pressure, because the swelling causes hypertension
- DJaundice, because the breakdown of the trapped blood adds to bilirubin
7.ยาก
A 4-year-old says it is wrong to hit his sister "because then I get a time-out". Which level of Kohlberg's moral development does this reflect?
- APreconventional level
- BConventional level
- CPostconventional level
- DFormal operational level
8.ยาก
Which statement by the parent of a child with peanut allergy shows a need for further teaching?
- A"If she has a bad reaction, I'll give an antihistamine and wait an hour before using the auto-injector."
- B"I'll check the use-by date on her auto-injectors regularly and replace them before they expire."
- C"I'll call an ambulance every time I use the auto-injector, even if she seems to recover quickly."
- D"I'll read food labels for peanuts every time I shop."
เฉลย
- 1. C · Itching around the anus, especially at night
- 2. C · Ventricular septal defect
- 3. A · Preoperational stage (about 2 to 7 years)
- 4. D · The reading will be falsely high
- 5. A · It increases fetal haemoglobin, which reduces sickling
- 6. D · Jaundice, because the breakdown of the trapped blood adds to bilirubin
- 7. A · Preconventional level
- 8. A · "If she has a bad reaction, I'll give an antihistamine and wait an hour before using the auto-injector."
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