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
- CIntense itching, worse at night, with burrows between the fingers
- DPainless red patches that slowly spread outward over months
2.ง่าย
Which symptoms are classic for new type 1 diabetes in a child?
- AJoint pain, a rash on the face and hair loss
- BWeight gain, feeling cold and long-standing constipation
- CThirst, frequent urination, weight loss and tiredness
- DA barking cough, fever and a hoarse voice
3.ง่าย
Which finding in the fingers is typical of long-standing cyanotic heart disease?
- AWebbing between the fingers
- BSwan-neck deformity of the fingers
- CSpoon-shaped, thin nails
- DClubbing of the fingertips
4.ปานกลาง
A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?
- AAn inhaled foreign body
- BViral croup
- CA first attack of asthma
- DBronchiolitis
5.ปานกลาง
Why should a child with rubella avoid contact with pregnant women?
- AThe child may catch a pregnancy-related infection
- BPregnant women always develop severe pneumonia if they catch rubella
- CRubella in early pregnancy can cause serious birth defects
- DRubella causes pregnant women to go into labour early
6.ปานกลาง
A child with suspected appendicitis is waiting for surgery. Which action must the nurse avoid?
- AKeeping the child nil by mouth
- BRegular pain assessment
- CPutting a heat pad on the abdomen
- DGiving IV fluids as prescribed
7.ยาก
Which child is most appropriate to assign to a practical (enrolled) nurse?
- AA 5-year-old just back from tonsillectomy who keeps swallowing
- BA 7-year-old 2 days after an appendicectomy, stable on oral analgesia
- CAn infant with bronchiolitis who needs more and more oxygen
- DA 9-year-old newly admitted with diabetic ketoacidosis on an insulin infusion
8.ยาก
A child has had many hospital admissions with unexplained symptoms. They occur only when the mother is present and stop when the child is apart from her. What should the nurse consider?
- AA rare genetic disorder that needs more tests at once
- BFabricated or induced illness; follow safeguarding procedures
- CThe child is pretending to be ill to avoid school
- DThe ward environment or hospital food is causing the symptoms
เฉลย
- 1. C · Intense itching, worse at night, with burrows between the fingers
- 2. C · Thirst, frequent urination, weight loss and tiredness
- 3. D · Clubbing of the fingertips
- 4. A · An inhaled foreign body
- 5. C · Rubella in early pregnancy can cause serious birth defects
- 6. C · Putting a heat pad on the abdomen
- 7. B · A 7-year-old 2 days after an appendicectomy, stable on oral analgesia
- 8. B · Fabricated or induced illness; follow safeguarding procedures
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