1.ง่าย
For which child is a 0 to 10 numerical pain rating scale usually suitable?
- AA 3-year-old who cannot yet count
- BA 2-year-old with a recent fracture
- CA newborn after a heel prick
- DA child of about 8 years or older
2.ง่าย
สาเหตุที่พบบ่อยที่สุดของหลอดลมฝอยอักเสบ (bronchiolitis) ในทารกคืออะไร?
- Aไวรัสอาร์เอสวี (respiratory syncytial virus, RSV)
- Bสแตฟีโลค็อกคัส ออเรียส
- Cเฮโมฟิลัส อินฟลูเอนซี ชนิดบี
- Dสเตรปโตค็อกคัสกลุ่มเอ
3.ง่าย
How does respiratory syncytial virus (RSV) mainly spread?
- AOnly through the air over long distances, like measles
- BThrough contaminated food and drinking water
- CThrough droplets and contaminated hands and surfaces
- DThrough the bites of insects such as mosquitoes
4.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 replace the damaged eardrum permanently
- CTo widen the outer ear canal and reduce the build-up of wax
- DTo give antibiotics directly into the inner ear
5.ปานกลาง
What is the main purpose of medical play with a doll and real equipment before surgery?
- ATo teach the child how the surgeons will do the operation
- BTo test the child's intelligence
- CTo keep the child busy so the nurse can do other work
- DTo let the child express fears and gain a sense of control
6.ปานกลาง
Which statement about patient-controlled analgesia (PCA) for a child is correct?
- AOnly the child presses the button, unless a protocol says otherwise
- BThe nurse should press it every 5 minutes, day and night, to keep the pain away
- CParents should press the button whenever the child is asleep
- DAny visitor may press it if the child seems uncomfortable
7.ยาก
A child recovering from acute rheumatic fever with heart involvement asks why she needs regular penicillin for years. What is the best answer?
- ATo reduce the joint pain that continues after the illness
- BTo prevent common viral colds during the school year
- CTo prevent new strep infections that could cause further attacks and more valve damage
- DTo cure the heart valve damage that has already occurred and let the valves heal completely
8.ยาก
Which child should the nurse see first?
- AA 6-year-old with asthma whose peak flow is 85% of his best after salbutamol
- BA 4-year-old with asthma who can say only one or two words between breaths
- CA 2-year-old with croup who has a barking cough but no stridor at rest
- DA 5-month-old with bronchiolitis who has an oxygen saturation of 95% and is feeding
เฉลย
- 1. D · A child of about 8 years or older
- 2. A · ไวรัสอาร์เอสวี (respiratory syncytial virus, RSV)
- 3. C · Through droplets and contaminated hands and surfaces
- 4. A · To ventilate the middle ear and let fluid drain
- 5. D · To let the child express fears and gain a sense of control
- 6. A · Only the child presses the button, unless a protocol says otherwise
- 7. C · To prevent new strep infections that could cause further attacks and more valve damage
- 8. B · A 4-year-old with asthma who can say only one or two words between breaths
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