1.ง่าย
A 13-year-old boy has sudden, severe pain in one testis with nausea and vomiting. How should this be treated?
- AAs a urine infection to be treated at home
- BAs a surgical emergency
- CAs a sports strain that will heal with rest
- DAs normal growing pains of puberty
2.ง่าย
ตามทฤษฎีของอีริกสัน (Erikson) งานพัฒนาการหลักของเด็กวัยเตาะแตะ (ประมาณ 1 ถึง 3 ปี) คืออะไร?
- Aความไว้วางใจ เทียบกับความไม่ไว้วางใจ (trust versus mistrust)
- Bความคิดริเริ่ม เทียบกับความรู้สึกผิด (initiative versus guilt)
- Cความเป็นตัวของตัวเอง เทียบกับความอายและสงสัยในตนเอง (autonomy versus shame and doubt)
- Dความขยันหมั่นเพียร เทียบกับความรู้สึกด้อย (industry versus inferiority)
3.ง่าย
A 14-year-old is convinced that everyone at school notices her small pimple. Which concept describes this?
- AParallel play
- BObject permanence
- CSeparation anxiety
- DThe imaginary audience
4.ปานกลาง
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
- AHead circumference twice daily, because it signals hydrocephalus
- BJaundice, because the breakdown of the trapped blood adds to bilirubin
- CUrine colour, because the swelling causes kidney damage
- DBlood pressure, because the swelling causes hypertension
5.ปานกลาง
A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?
- AA drop in the platelet count
- BWeight gain of more than 10 kg in the first month
- CA sudden rise in blood glucose
- DWorsening mood or new suicidal thoughts
6.ปานกลาง
Which non-drug technique suits a 5-year-old during a cannula insertion?
- ADoing slow breathing exercises with a numeric scale
- BBlowing bubbles or looking at a pop-up book
- CBeing left alone so the child can concentrate
- DReading a detailed leaflet about the procedure
7.ยาก
A 5-year-old insists that a tall, thin glass holds more juice than a short, wide glass, although he saw the same amount poured into each. What explains this?
- AIt is a sign of intellectual disability that needs assessment
- BHe has not yet developed conservation, which is typical of the preoperational stage
- CHe is showing abstract reasoning typical of the formal operational stage
- DHe has a visual problem and needs an eye examination
8.ยาก
A family speaks little English. Their 10-year-old offers to translate during a discussion about consent for his sister's surgery. What should the nurse do?
- AArrange a professional interpreter
- BLet the 10-year-old translate to save time
- CAsk another patient's visitor who speaks the language
- DUse simple English and gestures only
เฉลย
- 1. B · As a surgical emergency
- 2. C · ความเป็นตัวของตัวเอง เทียบกับความอายและสงสัยในตนเอง (autonomy versus shame and doubt)
- 3. D · The imaginary audience
- 4. B · Jaundice, because the breakdown of the trapped blood adds to bilirubin
- 5. D · Worsening mood or new suicidal thoughts
- 6. B · Blowing bubbles or looking at a pop-up book
- 7. B · He has not yet developed conservation, which is typical of the preoperational stage
- 8. A · Arrange a professional interpreter
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