1.ง่าย
Which five signs make up the Apgar score?
- AHeart rate, breathing effort, muscle tone, reflex response and colour
- BOxygen saturation, temperature, reflexes, weight and feeding
- CHeart rate, blood pressure, temperature, weight and colour
- DBreathing rate, blood glucose, length, muscle tone and cry
2.ง่าย
Which sign may be the first clue to retinoblastoma in a young child?
- AA white pupil in photos instead of the usual red reflex
- BRed, itchy eyes with a sticky yellow discharge
- CA droopy upper eyelid that appears after a cold
- DTears running down the cheek on one side
3.ง่าย
Which sweetener must children with phenylketonuria (PKU) avoid?
- ASucrose
- BGlucose
- CFructose
- DAspartame
4.ปานกลาง
What is a normal capillary refill time in a child?
- A15 to 20 seconds
- B2 seconds or less
- C5 seconds or less
- D8 to 10 seconds
5.ปานกลาง
A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?
- APut a tongue depressor between the child's teeth
- BWait another 15 minutes, because most seizures stop on their own
- CHold the child's arms and legs firmly to stop the movements
- DGive the prescribed rescue medicine and call for emergency help
6.ปานกลาง
Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?
- ASudden projectile vomiting with a palpable olive-shaped mass
- BChronic diarrhoea, a swollen abdomen, irritability and poor weight gain
- CEpisodes of crying with red-currant jelly stools
- DHigh fever with a stiff neck and a purple rash
7.ยาก
Which child is most appropriate to assign to a practical (enrolled) nurse?
- AA 9-year-old newly admitted with diabetic ketoacidosis on an insulin infusion
- BAn infant with bronchiolitis who needs more and more oxygen
- CA 7-year-old 2 days after an appendicectomy, stable on oral analgesia
- DA 5-year-old just back from tonsillectomy who keeps swallowing
8.ยาก
A 2-year-old has had three febrile urinary tract infections. Which underlying condition should be considered?
- AHypospadias
- BNephrotic syndrome
- CVesicoureteral reflux
- DTesticular torsion on both sides
เฉลย
- 1. A · Heart rate, breathing effort, muscle tone, reflex response and colour
- 2. A · A white pupil in photos instead of the usual red reflex
- 3. D · Aspartame
- 4. B · 2 seconds or less
- 5. D · Give the prescribed rescue medicine and call for emergency help
- 6. B · Chronic diarrhoea, a swollen abdomen, irritability and poor weight gain
- 7. C · A 7-year-old 2 days after an appendicectomy, stable on oral analgesia
- 8. C · Vesicoureteral reflux
เฉลยทีละขั้นตอนฉบับเต็ม: ฝึกหัวข้อนี้ได้ที่ examproblems.com