1.ง่าย
Which symptom is typical of scabies?
- ADry, flaky scalp with dandruff but no itching
- BLarge blisters on the soles of the feet after walking
- CPainless red patches that slowly spread outward over months
- DIntense itching, worse at night, with burrows between the fingers
2.ง่าย
Which axillary temperature range is normal for a newborn?
- AAbout 36.5 to 37.5 °C (97.7 to 99.5 °F)
- BAbout 35.0 to 36.0 °C (95.0 to 96.8 °F)
- CAbout 37.8 to 38.5 °C (100.0 to 101.3 °F)
- DAbout 34.0 to 35.0 °C (93.2 to 95.0 °F)
3.ง่าย
What is the most common cause of Down syndrome?
- AAn extra copy of chromosome 21 (trisomy 21)
- BA missing X chromosome in a girl
- CInfection with rubella in early pregnancy
- DA single gene inherited from both carrier parents
4.ปานกลาง
How is a child usually positioned for a lumbar puncture?
- AFlat on the back with the legs straight and a small pillow under the head
- BStanding and leaning against the wall
- CProne with a pillow under the chest
- DOn the side, curled up with knees drawn up and head bent forward
5.ปานกลาง
Which temperature is usually taken as fever in a child?
- A37.0 °C (98.6 °F) or higher
- B37.5 °C (99.5 °F) or higher
- C38.0 °C (100.4 °F) or higher
- D39.5 °C (103.1 °F) or higher
6.ปานกลาง
Which finding is an early sign of shock in a child?
- AA fast heart rate with a prolonged capillary refill
- BSlow, deep breathing with a normal heart rate
- CA warm, flushed child with a strong, bounding pulse
- DLow blood pressure with a slow heart rate and pauses in breathing
7.ยาก
A toddler weighed 10 kg before 2 days of diarrhoea and now weighs 9.5 kg. How much has he lost?
- A50 g, about 0.5% of his body weight
- B500 g, about 50% of his body weight
- C1 kg, about 10% of his body weight
- D500 g, about 5% of his body weight, mostly fluid
8.ยาก
A child with a central venous catheter for chemotherapy develops fever and rigors shortly after the line is flushed. What should the nurse suspect?
- AA catheter-related bloodstream infection
- BA blocked line that needs more forceful flushing
- CAn allergy to the saline flush
- DA normal reaction to the chemotherapy
เฉลย
- 1. D · Intense itching, worse at night, with burrows between the fingers
- 2. A · About 36.5 to 37.5 °C (97.7 to 99.5 °F)
- 3. A · An extra copy of chromosome 21 (trisomy 21)
- 4. D · On the side, curled up with knees drawn up and head bent forward
- 5. C · 38.0 °C (100.4 °F) or higher
- 6. A · A fast heart rate with a prolonged capillary refill
- 7. D · 500 g, about 5% of his body weight, mostly fluid
- 8. A · A catheter-related bloodstream infection
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