1.ง่าย
How is sickle cell disease inherited?
- AAutosomal recessive
- BAutosomal dominant
- CX-linked recessive
- DNot inherited; it is acquired
2.ง่าย
มาตราวัดความปวดแบบใบหน้าของวอง–เบเกอร์ (Wong–Baker FACES) เหมาะที่สุดกับใคร?
- Aทารกแรกเกิดคลอดก่อนกำหนด
- Bเด็กอายุประมาณ 3 ปีขึ้นไปที่ชี้ใบหน้าได้
- Cเด็กที่หมดสติและใช้เครื่องช่วยหายใจซึ่งตอบด้วยคำพูดไม่ได้
- Dทารกอายุต่ำกว่า 6 เดือน
3.ง่าย
In an asthma action plan based on peak flow, what does the green zone mean?
- AUse the reliever more often and contact the doctor today
- BThis is an emergency; call for help at once
- CStop the preventer because it is no longer needed
- DAsthma is under control; continue usual treatment
4.ปานกลาง
A parent asks how to care for a child with mild croup at home. Which advice is correct?
- AGive an over-the-counter cough syrup every hour until the barking cough stops
- BLay the child flat in a cool room so the airway can relax
- CKeep the child calm and upright, and get urgent help if there is noisy breathing at rest
- DHold the child over a bowl of hot, steaming water to loosen the cough
5.ปานกลาง
A child has just spilled hot tea on his arm. What is the correct first aid?
- ACool the burn under cool running water for about 20 minutes
- BBurst any blisters to let the heat out
- CSpread butter or toothpaste on the burn
- DHold ice directly on the burn for about an hour to stop the pain
6.ปานกลาง
A baby with developmental dysplasia of the hip has a Pavlik harness. Which teaching is correct?
- ATighten the straps each week as the baby grows
- BKeep it on as instructed, do not adjust the straps and check the skin daily
- CApply powder and lotion under the straps to protect the skin
- DTake it off every night so the baby can sleep more comfortably and move freely
7.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A 15-year-old in traction for a femur fracture is withdrawn and irritable.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
- CSet a strict timetable for him that staff decide without his input
- DArrange contact with friends and let him control parts of his daily routine
8.ยาก
In England, a 15-year-old asks a nurse for contraception and does not want her parents told. Which principle applies?
- AShe can never receive contraception without written consent from a parent
- BThe nurse must inform her parents and her school straight away
- CShe may consent herself if judged competent (Gillick and Fraser)
- DContraception may only be given once she reaches the age of 18
เฉลย
- 1. A · Autosomal recessive
- 2. B · เด็กอายุประมาณ 3 ปีขึ้นไปที่ชี้ใบหน้าได้
- 3. D · Asthma is under control; continue usual treatment
- 4. C · Keep the child calm and upright, and get urgent help if there is noisy breathing at rest
- 5. A · Cool the burn under cool running water for about 20 minutes
- 6. B · Keep it on as instructed, do not adjust the straps and check the skin daily
- 7. D · Arrange contact with friends and let him control parts of his daily routine
- 8. C · She may consent herself if judged competent (Gillick and Fraser)
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