1.ง่าย
How is congenital clubfoot (talipes equinovarus) usually treated first?
- AWaiting until school age and then operating on the bones of the foot
- BMassage alone, with no casts or braces
- CSpecial shoes worn only at night from age 5
- DGentle manipulation and serial casting (the Ponseti method)
2.ง่าย
ตามทฤษฎีของอีริกสัน งานพัฒนาการของวัยรุ่นคืออะไร?
- Aความเป็นตัวของตัวเอง เทียบกับความอายและสงสัยในตนเอง (autonomy versus shame and doubt)
- Bความขยันหมั่นเพียร เทียบกับความรู้สึกด้อย (industry versus inferiority)
- Cเอกลักษณ์แห่งตน เทียบกับความสับสนในบทบาท (identity versus role confusion)
- Dความสมบูรณ์ในตนเอง เทียบกับความสิ้นหวัง (integrity versus despair)
3.ง่าย
Where does neuroblastoma most often start?
- AIn the bone marrow of the pelvis
- BIn the lining of the bladder
- CIn the adrenal gland
- DIn the white matter of the brain
4.ปานกลาง
Which factors can trigger a sickle cell crisis?
- ASleeping for long periods in a warm room
- BEating a high-iron diet and taking daily multivitamins
- CDehydration, infection, cold and low oxygen
- DDrinking plenty of water during hot weather
5.ปานกลาง
A child with suspected measles is admitted. Which precaution is most important?
- AContact precautions only, with gloves
- BNo special precautions once the rash appears
- CAirborne precautions, ideally in a negative-pressure room
- DDroplet precautions in a shared bay
6.ปานกลาง
Which newborn problem may be the first sign of cystic fibrosis?
- AUmbilical hernia
- BPhysiological jaundice
- CMeconium ileus
- DErythema toxicum
7.ยาก
A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?
- ASet a strict timetable for him that staff decide without his input
- BArrange contact with friends and let him control parts of his daily routine
- CMove him to a room with toddlers so the ward is less lonely
- DAsk his parents to stay with him at all times and make decisions for him
8.ยาก
A 9-year-old with Down syndrome has new neck pain, clumsy walking and changes in bladder control. What should the nurse suspect?
- AA simple urinary infection causing tiredness
- BGrowing pains in the legs
- CThe normal low muscle tone of Down syndrome getting worse with age
- DAtlantoaxial instability with spinal cord compression
เฉลย
- 1. D · Gentle manipulation and serial casting (the Ponseti method)
- 2. C · เอกลักษณ์แห่งตน เทียบกับความสับสนในบทบาท (identity versus role confusion)
- 3. C · In the adrenal gland
- 4. C · Dehydration, infection, cold and low oxygen
- 5. C · Airborne precautions, ideally in a negative-pressure room
- 6. C · Meconium ileus
- 7. B · Arrange contact with friends and let him control parts of his daily routine
- 8. D · Atlantoaxial instability with spinal cord compression
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