1.ง่าย
Which chromosome pattern causes Turner syndrome?
- AA single X chromosome (45,X) in a girl
- BAn extra copy of chromosome 21
- CAn extra copy of chromosome 18
- DAn extra X chromosome (47,XXY) in a boy
2.ง่าย
Which statement about head lice is correct?
- AThey jump or fly from one child to another across the classroom
- BThey spread by head-to-head contact and are not a sign of poor hygiene
- CThey mainly live on pets and pass to children from dogs and cats
- DThey only affect children with dirty hair who do not wash it often
3.ง่าย
Which finding inside the mouth is typical of early measles?
- AA thick white coating on the tongue and cheeks that can be wiped off
- BA bright red "strawberry" tongue with large papillae
- CKoplik spots: small white spots on the inside of the cheeks
- DPainful blisters on the tongue, gums and palate
4.ปานกลาง
A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?
- AHold the child's arms and legs firmly to stop the movements
- BPut a tongue depressor between the child's teeth
- CGive the prescribed rescue medicine and call for emergency help
- DWait another 15 minutes, because most seizures stop on their own
5.ปานกลาง
Using the 100–50–20 rule, what is the daily maintenance fluid requirement for a 15 kg child?
- A750 mL per day
- B1250 mL per day
- C1500 mL per day
- D1000 mL per day
6.ปานกลาง
Ten minutes into a blood transfusion, a child develops fever, chills and back pain. What should the nurse do first?
- ASlow the transfusion and give paracetamol (acetaminophen)
- BFinish the unit quickly, then report it
- CGive an antihistamine and continue
- DStop the transfusion
7.ยาก
เด็กที่เป็นโรคเม็ดเลือดแดงรูปเคียวมีอาการเจ็บหน้าอกใหม่ ไอ มีไข้ และความอิ่มตัวของออกซิเจน 90% พยาบาลควรสงสัยอะไร?
- Aอาการปวดปกติจากภาวะวิกฤตที่แขนขา
- Bหวัดเล็กน้อย
- Cความวิตกกังวลจากการอยู่โรงพยาบาล
- Dกลุ่มอาการทรวงอกเฉียบพลัน (acute chest syndrome) ซึ่งเป็นภาวะฉุกเฉิน
8.ยาก
A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?
- AMove him to a room with toddlers so the ward is less lonely
- BAsk his parents to stay with him at all times and make decisions for him
- CArrange contact with friends and let him control parts of his daily routine
- DSet a strict timetable for him that staff decide without his input
เฉลย
- 1. A · A single X chromosome (45,X) in a girl
- 2. B · They spread by head-to-head contact and are not a sign of poor hygiene
- 3. C · Koplik spots: small white spots on the inside of the cheeks
- 4. C · Give the prescribed rescue medicine and call for emergency help
- 5. B · 1250 mL per day
- 6. D · Stop the transfusion
- 7. D · กลุ่มอาการทรวงอกเฉียบพลัน (acute chest syndrome) ซึ่งเป็นภาวะฉุกเฉิน
- 8. C · Arrange contact with friends and let him control parts of his daily routine
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