1.Dễ
Which pattern is typical of roseola infantum?
- AA rash that appears first, followed by a whole week of high fever and cough
- BItchy blisters in crops that crust over within days
- CA bright red rash on both cheeks, like a slap
- DHigh fever for a few days, then a pink rash as the fever settles
2.Dễ
Which symptom is typical of threadworm (pinworm) infection in a child?
- AItching around the anus, especially at night
- BA red, ring-shaped rash on the scalp
- CA high fever with bloody diarrhoea
- DVomiting after every meal for a week, with weight loss
3.Dễ
Which sign suggests heart failure in an infant?
- ASlow breathing with long pauses
- BA slow heart rate at rest
- CSweating and tiring during feeds
- DFeeding eagerly and finishing every bottle quickly
4.Trung bình
A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?
- AGive the prescribed rescue medicine and call for emergency help
- BHold the child's arms and legs firmly to stop the movements
- CPut a tongue depressor between the child's teeth
- DWait another 15 minutes, because most seizures stop on their own
5.Trung bình
Which task can the registered nurse delegate to a healthcare assistant (nursing assistant) on a children's ward?
- ACarrying out the admission assessment of a new patient
- BAssessing pain after surgery and choosing the analgesia
- CMeasuring and recording the vital signs of a stable child
- DTeaching a parent how to give insulin injections
6.Trung bình
Which instruction about using an adrenaline (epinephrine) auto-injector is correct?
- AInject it into the buttock muscle and then let the child walk it off at home
- BInject into the upper arm muscle, but only after removing all the clothing first
- CUse it only after an antihistamine has failed to work
- DInject into the outer thigh, through clothing if needed, and call emergency services
7.Khó
A baby born to a mother who used opioids in pregnancy has a high-pitched cry, tremors, sneezing and poor feeding. Which plan is best?
- ADelay all feeds until the tremors and sneezing have settled
- BGive naloxone to reverse the effects of the opioid
- CLow-stimulation care, swaddling, small frequent feeds and a withdrawal scoring tool
- DKeep the baby in a bright, busy area of the unit and stimulate them often to keep them awake
8.Khó
A 7-year-old has had morning headaches and vomiting for several weeks, now with clumsiness. What should the nurse suspect?
- AMigraine caused by stress at school
- BA need for new glasses because of eye strain
- CA brain tumour with raised intracranial pressure
- DViral gastroenteritis
Đáp án
- 1. D · High fever for a few days, then a pink rash as the fever settles
- 2. A · Itching around the anus, especially at night
- 3. C · Sweating and tiring during feeds
- 4. A · Give the prescribed rescue medicine and call for emergency help
- 5. C · Measuring and recording the vital signs of a stable child
- 6. D · Inject into the outer thigh, through clothing if needed, and call emergency services
- 7. C · Low-stimulation care, swaddling, small frequent feeds and a withdrawal scoring tool
- 8. C · A brain tumour with raised intracranial pressure
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