1.ง่าย
Which symptom is typical of scabies?
- APainless red patches that slowly spread outward over months
- BDry, flaky scalp with dandruff but no itching
- CIntense itching, worse at night, with burrows between the fingers
- DLarge blisters on the soles of the feet after walking
2.ง่าย
Why must a toddler never be left alone in the bath, even for a moment?
- AThe bath water cools quickly and causes hypothermia
- BSoap left on the skin irritates a toddler's skin
- CA toddler left alone gets bored, cries and tries to climb out of the bath
- DA young child can drown silently in a few centimetres of water
3.ง่าย
What is the most common cause of Down syndrome?
- AA single gene inherited from both carrier parents
- BAn extra copy of chromosome 21 (trisomy 21)
- CA missing X chromosome in a girl
- DInfection with rubella in early pregnancy
4.ปานกลาง
Which non-drug technique suits a 5-year-old during a cannula insertion?
- ABlowing bubbles or looking at a pop-up book
- BReading a detailed leaflet about the procedure
- CDoing slow breathing exercises with a numeric scale
- DBeing left alone so the child can concentrate
5.ปานกลาง
In a large ventricular septal defect, in which direction does blood mainly flow through the defect?
- AThere is no flow at all, because the pressures in both ventricles are always equal
- BFrom the aorta into the pulmonary veins
- CFrom left to right, increasing blood flow to the lungs
- DFrom right to left, causing cyanosis from birth
6.ปานกลาง
What is the purpose of grommets (tympanostomy tubes) in a child with repeated middle ear problems?
- ATo ventilate the middle ear and let fluid drain
- BTo give antibiotics directly into the inner ear
- CTo widen the outer ear canal and reduce the build-up of wax
- DTo replace the damaged eardrum permanently
7.ยาก
On day 5 of chickenpox, a child has a fever again, and one area of skin around some spots has become red, hot, swollen and very painful. What should the nurse suspect?
- AAn allergy to calamine lotion
- BA secondary bacterial skin infection
- CA second attack of chickenpox caused by a different strain
- DNormal healing of chickenpox spots
8.ยาก
An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?
- APromise to keep the secret, so that she keeps trusting the nurse and tells more later
- BListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
- CAsk detailed, leading questions to find out exactly what happened
- DPhone the uncle straight away to ask for his side of the story before reporting anything
เฉลย
- 1. C · Intense itching, worse at night, with burrows between the fingers
- 2. D · A young child can drown silently in a few centimetres of water
- 3. B · An extra copy of chromosome 21 (trisomy 21)
- 4. A · Blowing bubbles or looking at a pop-up book
- 5. C · From left to right, increasing blood flow to the lungs
- 6. A · To ventilate the middle ear and let fluid drain
- 7. B · A secondary bacterial skin infection
- 8. B · Listen calmly, praise her for telling, explain it must be shared, and follow safeguarding
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