1.ง่าย
What causes scarlet fever?
- AGroup A streptococcus
- BHuman herpesvirus 6
- CStaphylococcus epidermidis
- DVaricella-zoster virus
2.ง่าย
Which symptom is typical of threadworm (pinworm) infection in a child?
- AA high fever with bloody diarrhoea
- BItching around the anus, especially at night
- CA red, ring-shaped rash on the scalp
- DVomiting after every meal for a week, with weight loss
3.ง่าย
At about what age can most children copy a circle with a crayon?
- AAbout 12 months
- BAbout 18 months
- CAbout 6 years
- DAbout 3 years
4.ปานกลาง
Which sign shows that a baby is ready to start solid foods?
- AStarts waking more often during the night and seems hungry after milk feeds
- BHas cut a first tooth
- CHas reached 6 weeks of age
- DSits with support, holds the head steady and shows interest in food
5.ปานกลาง
พยาบาลควรซักประวัติสุขภาพวัยรุ่นอายุ 15 ปีอย่างไร?
- Aบอกวัยรุ่นว่าทุกอย่างที่พูดจะแจ้งให้พ่อแม่ทราบเพื่อให้พวกเขาได้รับข้อมูล
- Bพูดกับพ่อแม่เท่านั้น
- Cสัมภาษณ์วัยรุ่นโดยมีเพื่อนอยู่ด้วยเพื่อให้กำลังใจ
- Dใช้เวลาส่วนหนึ่งของการตรวจอยู่กับวัยรุ่นตามลำพังและอธิบายขอบเขตของการรักษาความลับ
6.ปานกลาง
Which signs suggest digoxin toxicity in a child?
- AHigh fever with a spreading red rash
- BIncreased appetite, extra energy and rapid weight gain over a few days
- CFast heart rate with high blood pressure
- DNausea, vomiting, poor feeding and a slow heart rate
7.ยาก
An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?
- ADehydration due to sweating during feeds
- BWorsening heart failure with fluid retention
- CAn allergic reaction to the new high-energy formula started yesterday
- DGood growth thanks to improved feeding
8.ยาก
An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?
- APromise to keep the secret, so that she keeps trusting the nurse and tells more later
- BPhone the uncle straight away to ask for his side of the story before reporting anything
- CAsk detailed, leading questions to find out exactly what happened
- DListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
เฉลย
- 1. A · Group A streptococcus
- 2. B · Itching around the anus, especially at night
- 3. D · About 3 years
- 4. D · Sits with support, holds the head steady and shows interest in food
- 5. D · ใช้เวลาส่วนหนึ่งของการตรวจอยู่กับวัยรุ่นตามลำพังและอธิบายขอบเขตของการรักษาความลับ
- 6. D · Nausea, vomiting, poor feeding and a slow heart rate
- 7. B · Worsening heart failure with fluid retention
- 8. D · Listen calmly, praise her for telling, explain it must be shared, and follow safeguarding
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