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Ad: ____________________ Tarih: ____________
1.Kolay
How deep should chest compressions be during CPR on a child?
AJust enough to see the chest move slightly
BAbout one tenth of the depth of the chest
CAs deep as possible, until the ribs can be felt to give
DAt least one third of the depth of the chest
2.Kolay
Which pattern is typical of roseola infantum?
AHigh fever for a few days, then a pink rash as the fever settles
BItchy blisters in crops that crust over within days
CA bright red rash on both cheeks, like a slap
DA rash that appears first, followed by a whole week of high fever and cough
3.Kolay
What is the main feature of immune thrombocytopenia (ITP) in a child?
AA high red cell count with headache and flushing
BA missing clotting factor with bleeding into joints
CA low white cell count with repeated infections
DA low platelet count with bruising and petechiae
4.Orta
How is a child's weight status (for example overweight) assessed?
AWaist size compared with the parents' waist size
BBMI plotted on an age- and sex-specific centile chart
CBMI compared with the adult cut-off points
DWeight alone, compared with the average weight of children in the same class
5.Orta
Which diet is usually recommended for a child with cystic fibrosis?
AA high-energy, high-fat diet with fat-soluble vitamin supplements
BA low-protein diet to reduce the work of the pancreas
CA low-salt diet to protect the heart and kidneys from damage later in life
DA low-fat diet to reduce greasy stools and abdominal pain
6.Orta
Which finding may suggest that a school-age child is being bullied?
AArguing with a sibling about the TV remote
BEnjoying school clubs and inviting friends home
CNot wanting to go to school, lost belongings and frequent stomach aches
DWanting to collect trading cards and play team games with classmates
7.Zor
During an insulin infusion for diabetic ketoacidosis, why is potassium monitored closely?
AInsulin causes the kidneys to hold on to potassium, so blood levels rise dangerously
BPotassium is needed to dissolve the insulin in the drip
CInsulin moves potassium into the cells, so blood potassium can fall sharply
DPotassium has no role in DKA; it is a routine test only
8.Zor
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?
AListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
BAsk detailed, leading questions to find out exactly what happened
CPromise to keep the secret, so that she keeps trusting the nurse and tells more later
DPhone the uncle straight away to ask for his side of the story before reporting anything
Cevap anahtarı
1. D · At least one third of the depth of the chest
2. A · High fever for a few days, then a pink rash as the fever settles
3. D · A low platelet count with bruising and petechiae
4. B · BMI plotted on an age- and sex-specific centile chart
5. A · A high-energy, high-fat diet with fat-soluble vitamin supplements
6. C · Not wanting to go to school, lost belongings and frequent stomach aches
7. C · Insulin moves potassium into the cells, so blood potassium can fall sharply
8. A · Listen calmly, praise her for telling, explain it must be shared, and follow safeguarding
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