1.ง่าย
At about what age do most children say their first meaningful words?
- AAbout 6 months
- BAbout 4 months
- CAbout 2 years
- DAbout 12 months
2.ง่าย
Which statement about head lice is correct?
- AThey jump or fly from one child to another across the classroom
- BThey mainly live on pets and pass to children from dogs and cats
- CThey only affect children with dirty hair who do not wash it often
- DThey spread by head-to-head contact and are not a sign of poor hygiene
3.ง่าย
Which is the most common congenital heart defect?
- ATransposition of the great arteries
- BCoarctation of the aorta
- CTetralogy of Fallot
- DVentricular septal defect
4.ปานกลาง
How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?
- AIt kills bacteria in the blood and prevents infections
- BIt removes extra iron after blood transfusions
- CIt replaces the missing clotting factors
- DIt increases fetal haemoglobin, which reduces sickling
5.ปานกลาง
A medicine is prescribed at 10 mg/kg. The child weighs 18 kg and the liquid contains 120 mg in 5 mL. What volume should be given?
- A7.5 mL
- B15 mL
- C1.5 mL
- D3.75 mL
6.ปานกลาง
A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?
- AA first attack of asthma
- BViral croup
- CAn inhaled foreign body
- DBronchiolitis
7.ยาก
A 14-year-old has superficial cuts on her forearms. She says cutting helps her cope and that she does not want to die. What is the best nursing response?
- ATell her firmly that cutting is attention-seeking behaviour and that she must stop now
- BTreat the wounds, stay calm and non-judgemental, and refer for assessment
- CPromise not to tell anyone so that she keeps talking
- DAccept that she is not at risk because she says she does not want to die
8.ยาก
Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?
- AA normal result, because foot readings are always lower
- BA faulty probe or a cold foot; repeat the whole test at the 6-week check
- CAn abnormal screen that must be followed up promptly under the screening protocol
- DNormal transition; no further checks are needed
เฉลย
- 1. D · About 12 months
- 2. D · They spread by head-to-head contact and are not a sign of poor hygiene
- 3. D · Ventricular septal defect
- 4. D · It increases fetal haemoglobin, which reduces sickling
- 5. A · 7.5 mL
- 6. C · An inhaled foreign body
- 7. B · Treat the wounds, stay calm and non-judgemental, and refer for assessment
- 8. C · An abnormal screen that must be followed up promptly under the screening protocol
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