1.ง่าย
For which child is a 0 to 10 numerical pain rating scale usually suitable?
- AA 3-year-old who cannot yet count
- BA 2-year-old with a recent fracture
- CA newborn after a heel prick
- DA child of about 8 years or older
2.ง่าย
Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?
- AIt causes heavy periods
- BIt makes contraceptive pills fail
- CIt causes serious birth defects
- DIt stops ovulation permanently
3.ง่าย
Which type of play, with shared goals, rules and roles, is typical of school-age children?
- AParallel play
- BOnlooker play
- CSolitary play
- DCooperative play
4.ปานกลาง
A 6-year-old with a life-limiting illness asks the nurse, "Am I going to die?" What is the best response?
- ATell the child firmly that this will not happen
- BTell the child that only the doctor is allowed to talk about this subject with children
- CChange the subject quickly so the child is not upset
- DFind out what prompted the question, then answer honestly and simply, with the family
5.ปานกลาง
Which advice is best for a baby with mild nappy rash?
- AApply talcum powder thickly at every nappy change
- BChange nappies often, clean gently, use a barrier cream and allow nappy-free time
- CUse tighter nappies so that less urine reaches the skin
- DWipe with perfumed baby wipes at every change to kill the bacteria on the skin
6.ปานกลาง
How should a 3-year-old use a metered-dose inhaler?
- ADirectly into the mouth without a spacer, while breathing in as fast as possible
- BWith a spacer, giving all the prescribed puffs into it at the same time
- CWith a spacer and face mask, taking several normal breaths after each puff
- DWith a spacer and mask, holding the breath for 10 seconds after each puff
7.ยาก
A child on a morphine infusion is very hard to wake, with a respiratory rate of 8 per minute and pinpoint pupils. What should the nurse do first?
- AReduce the infusion rate slightly and recheck the child's breathing in an hour
- BGive a sedative to keep the child calm
- CLet the child sleep, as this shows the pain is controlled
- DStop the infusion, support breathing and give naloxone as per protocol
8.ยาก
Only one negative-pressure room is available. Which child should be placed in it?
- AA child with RSV bronchiolitis
- BA child with suspected measles
- CA child with impetigo
- DA child with norovirus gastroenteritis and vomiting
เฉลย
- 1. D · A child of about 8 years or older
- 2. C · It causes serious birth defects
- 3. D · Cooperative play
- 4. D · Find out what prompted the question, then answer honestly and simply, with the family
- 5. B · Change nappies often, clean gently, use a barrier cream and allow nappy-free time
- 6. C · With a spacer and face mask, taking several normal breaths after each puff
- 7. D · Stop the infusion, support breathing and give naloxone as per protocol
- 8. B · A child with suspected measles
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