1.ง่าย
Which feature is typical of whooping cough (pertussis) in an older child?
- AA barking cough and a hoarse voice that are worse at night
- BA wheeze heard only on breathing out, with a runny nose
- CBouts of coughing that end with a "whoop" on breathing in
- DDrooling, a high fever and difficulty swallowing saliva
2.ง่าย
Which congenital heart defect causes cyanosis?
- ASmall ventricular septal defect with a left-to-right shunt
- BAtrial septal defect
- CTransposition of the great arteries
- DPatent ductus arteriosus
3.ง่าย
Which four features make up tetralogy of Fallot?
- AVSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
- BASD, aortic stenosis, patent ductus arteriosus and left ventricular hypertrophy
- CPatent ductus arteriosus, VSD, ASD and transposition of the great arteries
- DVSD, mitral stenosis, coarctation of the aorta and an enlarged left atrium
4.ปานกลาง
Which defect classically causes a continuous "machinery" murmur?
- ATetralogy of Fallot
- BPatent ductus arteriosus
- CIsolated pulmonary stenosis with an intact ventricular septum
- DAtrial septal defect
5.ปานกลาง
A child is receiving IV morphine. Which assessments are most important?
- ABlood glucose and urine ketones
- BHead circumference and fontanelle tension
- CRespiratory rate and level of sedation
- DPeak flow and inhaler technique
6.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
- CCount the apical pulse for a full minute
- DRead it from the pulse oximeter only
7.ยาก
The nurse has taught a parent about treating head lice. Which statement shows a need for further teaching?
- A"Lice can spread when children's heads touch."
- B"I'll use a fine-toothed comb on wet hair to find lice."
- C"I'll check everyone else in the family for lice as well."
- D"After one treatment, I won't need to check her hair again."
8.ยาก
เด็กที่เป็นกลุ่มอาการเนฟโฟรติกได้รับคอร์ติโคสเตียรอยด์ขนาดสูง คำแนะนำใดสำคัญที่สุดสำหรับครอบครัว?
- Aหยุดสเตียรอยด์ทันทีเมื่อบวมหาย
- Bให้วัคซีนเชื้อเป็นระหว่างการรักษา
- Cสนับสนุนอาหารเค็มจัด
- Dรายงานไข้หรือสัญญาณของการติดเชื้อโดยเร็ว
เฉลย
- 1. C · Bouts of coughing that end with a "whoop" on breathing in
- 2. C · Transposition of the great arteries
- 3. A · VSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
- 4. B · Patent ductus arteriosus
- 5. C · Respiratory rate and level of sedation
- 6. C · Count the apical pulse for a full minute
- 7. D · "After one treatment, I won't need to check her hair again."
- 8. D · รายงานไข้หรือสัญญาณของการติดเชื้อโดยเร็ว
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