1.ง่าย
What type of vaccine is the measles–mumps–rubella (MMR) vaccine?
- AA live attenuated vaccine
- BA conjugate polysaccharide vaccine
- CAn inactivated toxoid vaccine
- DAn mRNA vaccine
2.ง่าย
Which measure helps an infant with a cleft palate to feed?
- AFeeding only through a nasogastric tube until school age
- BA special bottle or teat, an upright position and frequent burping
- CFeeding lying flat to let gravity move the milk along
- DThickening every feed with baby cereal from birth onwards to slow the milk
3.ง่าย
Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?
- ATo compensate for chronic hypoxia
- BBecause the spleen stops working
- CBecause the heart makes red blood cells
- DBecause of too much iron in the diet
4.ปานกลาง
A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?
- AMouthwash containing alcohol several times a day
- BA soft toothbrush or sponge, bland rinses and soft, cool foods
- CA hard toothbrush and lemon–glycerine swabs to clean the ulcers
- DSpicy and acidic foods to stimulate saliva flow
5.ปานกลาง
A 20-month-old drinks about 1.5 litres of cow's milk a day and eats little solid food. He is pale and tired. What is the most likely problem?
- ALactose intolerance
- BVitamin B12 deficiency
- CSickle cell disease
- DIron-deficiency anaemia
6.ปานกลาง
Which sign shows that a baby is ready to start solid foods?
- AStarts waking more often during the night and seems hungry after milk feeds
- BHas cut a first tooth
- CSits with support, holds the head steady and shows interest in food
- DHas reached 6 weeks of age
7.ยาก
A child with Hirschsprung disease awaiting surgery develops fever, explosive diarrhoea and a very swollen abdomen. What should the nurse suspect?
- AEnterocolitis, an emergency
- BThe disease has resolved itself
- COrdinary viral gastroenteritis
- DOveruse of laxatives at home
8.ยาก
How should a child who is still drowsy after a tonsillectomy be positioned?
- AFlat on the back with the head tilted backwards
- BProne with the face directly in the pillow
- COn the side or semi-prone, so secretions can drain from the mouth
- DSitting fully upright with the head bent forward on the chest
เฉลย
- 1. A · A live attenuated vaccine
- 2. B · A special bottle or teat, an upright position and frequent burping
- 3. A · To compensate for chronic hypoxia
- 4. B · A soft toothbrush or sponge, bland rinses and soft, cool foods
- 5. D · Iron-deficiency anaemia
- 6. C · Sits with support, holds the head steady and shows interest in food
- 7. A · Enterocolitis, an emergency
- 8. C · On the side or semi-prone, so secretions can drain from the mouth
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