1.ง่าย
What is a positive Brudzinski sign?
- AThe child cannot straighten the knee when the hip is flexed
- BThe toes fan out when the sole of the foot is stroked
- CThe pupils become unequal in size after a head injury
- DBending the neck forward causes the hips and knees to flex
2.ง่าย
In an asthma action plan based on peak flow, what does the green zone mean?
- AUse the reliever more often and contact the doctor today
- BStop the preventer because it is no longer needed
- CThis is an emergency; call for help at once
- DAsthma is under control; continue usual treatment
3.ง่าย
How is sickle cell disease inherited?
- ANot inherited; it is acquired
- BAutosomal recessive
- CX-linked recessive
- DAutosomal dominant
4.ปานกลาง
A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?
- AGive her a drink straight away to prevent dehydration
- BPlace her in the recovery position and monitor airway and breathing
- CLeave her alone in a dark room to sleep it off
- DWake her fully every few minutes and ask her to stand up and walk around
5.ปานกลาง
A toddler refuses a liquid medicine. Which approach is appropriate?
- AMix it into a full bottle of milk or juice for the whole day
- BMix it with a small spoonful of food, if the pharmacist says this is safe
- CTell the child it is a sweet so that he takes it happily
- DHold the child's nose firmly until he has to open his mouth to breathe
6.ปานกลาง
A child has just spilled hot tea on his arm. What is the correct first aid?
- ABurst any blisters to let the heat out
- BHold ice directly on the burn for about an hour to stop the pain
- CCool the burn under cool running water for about 20 minutes
- DSpread butter or toothpaste on the burn
7.ยาก
A toddler has burns on both feet and the buttocks, with sharp "stocking" lines and no splash marks. What should the nurse consider?
- ASunburn from playing outside in a paddling pool on a hot day
- BPossible deliberate immersion; follow the safeguarding procedure
- CA skin infection that looks like a burn
- DAn accidental spill from a cup of tea
8.ยาก
A formula-fed infant is diagnosed with cow's milk protein allergy. Which formula is usually advised?
- AA lactose-free cow's milk formula
- BA rice milk drink fortified with calcium
- CAn extensively hydrolysed formula
- DA goat's milk formula
เฉลย
- 1. D · Bending the neck forward causes the hips and knees to flex
- 2. D · Asthma is under control; continue usual treatment
- 3. B · Autosomal recessive
- 4. B · Place her in the recovery position and monitor airway and breathing
- 5. B · Mix it with a small spoonful of food, if the pharmacist says this is safe
- 6. C · Cool the burn under cool running water for about 20 minutes
- 7. B · Possible deliberate immersion; follow the safeguarding procedure
- 8. C · An extensively hydrolysed formula
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