1.ง่าย
เด็กที่เป็นซิสติกไฟโบรซิสควรรับประทานแคปซูลเอนไซม์ตับอ่อนเมื่อใด?
- Aเฉพาะเมื่ออุจจาระเหลว
- Bวันละครั้งก่อนนอน
- Cตอนท้องว่างในตอนเช้าเท่านั้น
- Dทุกมื้ออาหารและของว่าง
2.ง่าย
How deep should chest compressions be during CPR on a child?
- AJust enough to see the chest move slightly
- BAs deep as possible, until the ribs can be felt to give
- CAt least one third of the depth of the chest
- DAbout one tenth of the depth of the chest
3.ง่าย
What is the most common cause of Down syndrome?
- AA single gene inherited from both carrier parents
- BInfection with rubella in early pregnancy
- CAn extra copy of chromosome 21 (trisomy 21)
- DA missing X chromosome in a girl
4.ปานกลาง
How should the nurse measure the heart rate of a 9-month-old?
- ACount the carotid pulse for 30 seconds and multiply by 2
- BCount the radial pulse for 15 seconds and multiply by 4
- CRead it from the pulse oximeter only
- DCount the apical pulse for a full minute
5.ปานกลาง
Which finding may suggest that a school-age child is being bullied?
- AWanting to collect trading cards and play team games with classmates
- BArguing with a sibling about the TV remote
- CEnjoying school clubs and inviting friends home
- DNot wanting to go to school, lost belongings and frequent stomach aches
6.ปานกลาง
A child has just spilled hot tea on his arm. What is the correct first aid?
- ASpread butter or toothpaste on the burn
- BCool the burn under cool running water for about 20 minutes
- CHold ice directly on the burn for about an hour to stop the pain
- DBurst any blisters to let the heat out
7.ยาก
A child with Hirschsprung disease awaiting surgery develops fever, explosive diarrhoea and a very swollen abdomen. What should the nurse suspect?
- AThe disease has resolved itself
- BOrdinary viral gastroenteritis
- COveruse of laxatives at home
- DEnterocolitis, an emergency
8.ยาก
Which child should the nurse see first?
- AA 2-year-old with croup who has a barking cough but no stridor at rest
- BA 4-year-old with asthma who can say only one or two words between breaths
- CA 6-year-old with asthma whose peak flow is 85% of his best after salbutamol
- DA 5-month-old with bronchiolitis who has an oxygen saturation of 95% and is feeding
เฉลย
- 1. D · ทุกมื้ออาหารและของว่าง
- 2. C · At least one third of the depth of the chest
- 3. C · An extra copy of chromosome 21 (trisomy 21)
- 4. D · Count the apical pulse for a full minute
- 5. D · Not wanting to go to school, lost belongings and frequent stomach aches
- 6. B · Cool the burn under cool running water for about 20 minutes
- 7. D · Enterocolitis, an emergency
- 8. B · A 4-year-old with asthma who can say only one or two words between breaths
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