Cevaplı Pediatri hemşireliği çalışma kâğıdı

Which finding inside the mouth is typical of early measles?

1. AA bright red "strawberry" tongue with large papillae
2. BPainful blisters on the tongue, gums and palate
3. CA thick white coating on the tongue and cheeks that can be wiped off
4. DKoplik spots: small white spots on the inside of the cheeks

After a tonsillectomy, which drinks are usually avoided at first?

1. ACrushed ice
2. BRed-coloured drinks
3. CDiluted apple juice or squash
4. DCool water

What type of vaccine is the measles–mumps–rubella (MMR) vaccine?

1. AAn mRNA vaccine
2. BA conjugate polysaccharide vaccine
3. CA live attenuated vaccine
4. DAn inactivated toxoid vaccine

How should anti-sickness medicine be given to a child receiving chemotherapy that often causes vomiting?

1. AOnly if the child asks for it
2. BOnly at night, when the child is asleep
3. CBefore the chemotherapy starts and then regularly
4. DOnly after the child has already vomited at least twice

Why are IV fluids for young children given with an infusion pump or a volume-control set?

1. ATo remove bacteria from the fluid
2. BTo make the fluid warmer before it enters the vein
3. CTo prevent accidental fluid overload
4. DTo allow the child to adjust the rate

What should the nurse do before giving a dose of digoxin to an infant?

1. AMeasure the temperature and give the dose only if there is no fever
2. BMeasure the blood pressure and give the dose only if it is above the normal range
3. CCount the apical pulse for a full minute and check it against the prescribed limits
4. DCount the radial pulse for 15 seconds and multiply by four

A healthy breastfed baby has lost 7% of her birth weight on day 3. What is the best interpretation?

1. AThis shows breastfeeding has failed, so formula should replace breast milk from now on
2. BThis weight loss is only normal in formula-fed babies
3. CThis is within the usual range; observe a feed and follow the weight
4. DThis is severe dehydration and needs immediate IV fluids

A child with cyanotic heart disease and polycythaemia has a fever and vomiting. Why is dehydration especially dangerous?

1. AIt leads to fluid overload and pulmonary oedema as the kidneys hold on to water
2. BIt lowers the red cell count and causes severe anaemia
3. CIt makes the blood even thicker and raises the risk of stroke and thrombosis
4. DIt causes the heart defect to close on its own