1.ง่าย
เหตุใดจึงไม่ควรให้น้ำผึ้งแก่ทารกอายุต่ำกว่า 12 เดือน?
- Aทำให้ตัวเหลือง
- Bอาจมีสปอร์ที่ก่อให้เกิดโรคโบทูลิซึมในทารก (infant botulism)
- Cทำให้ฟันซี่ใหม่ของทารกผุภายในไม่กี่วัน
- Dให้พลังงานต่ำเกินไป
2.ง่าย
In an asthma action plan based on peak flow, what does the green zone mean?
- AThis is an emergency; call for help at once
- BAsthma is under control; continue usual treatment
- CStop the preventer because it is no longer needed
- DUse the reliever more often and contact the doctor today
3.ง่าย
At about what age does stranger anxiety usually begin in infants?
- AAbout 4 to 5 years
- BAbout 2 to 3 years
- CAbout 1 to 2 months
- DAbout 6 to 8 months
4.ปานกลาง
How should anti-sickness medicine be given to a child receiving chemotherapy that often causes vomiting?
- AOnly if the child asks for it
- BOnly at night, when the child is asleep
- COnly after the child has already vomited at least twice
- DBefore the chemotherapy starts and then regularly
5.ปานกลาง
How should the nurse measure the heart rate of a 9-month-old?
- ACount the apical pulse for a full minute
- BCount the carotid pulse for 30 seconds and multiply by 2
- CRead it from the pulse oximeter only
- DCount the radial pulse for 15 seconds and multiply by 4
6.ปานกลาง
Ten minutes into a blood transfusion, a child develops fever, chills and back pain. What should the nurse do first?
- AGive an antihistamine and continue
- BStop the transfusion
- CFinish the unit quickly, then report it
- DSlow the transfusion and give paracetamol (acetaminophen)
7.ยาก
A family speaks little English. Their 10-year-old offers to translate during a discussion about consent for his sister's surgery. What should the nurse do?
- AUse simple English and gestures only
- BLet the 10-year-old translate to save time
- CArrange a professional interpreter
- DAsk another patient's visitor who speaks the language
8.ยาก
A child with extensive burns is receiving IV fluid resuscitation. Which finding best shows that fluid replacement is adequate?
- AThe blood pressure is in the high range
- BA urine output of about 1 mL/kg per hour
- CThe child is asking for a drink
- DThe burned skin looks less red and the blisters are smaller
เฉลย
- 1. B · อาจมีสปอร์ที่ก่อให้เกิดโรคโบทูลิซึมในทารก (infant botulism)
- 2. B · Asthma is under control; continue usual treatment
- 3. D · About 6 to 8 months
- 4. D · Before the chemotherapy starts and then regularly
- 5. A · Count the apical pulse for a full minute
- 6. B · Stop the transfusion
- 7. C · Arrange a professional interpreter
- 8. B · A urine output of about 1 mL/kg per hour
เฉลยทีละขั้นตอนฉบับเต็ม: ฝึกหัวข้อนี้ได้ที่ examproblems.com