Phiếu bài tập Điều dưỡng nhi khoa có đáp án

What is the usual normal range for the platelet count?

1. AAbout 15 to 40 × 10⁹/L
2. BAbout 1,500 to 4,000 × 10⁹/L
3. CAbout 4 to 11 × 10⁹/L
4. DAbout 150 to 400 × 10⁹/L

Which supplement, taken before conception and in early pregnancy, reduces the risk of spina bifida?

1. AVitamin C
2. BFolic acid
3. CCalcium carbonate
4. DIron

What is the main feature of immune thrombocytopenia (ITP) in a child?

1. AA low white cell count with repeated infections
2. BA missing clotting factor with bleeding into joints
3. CA high red cell count with headache and flushing
4. DA low platelet count with bruising and petechiae

Which group of findings suggests Kawasaki disease?

1. AHigh fever for 3 days, then a pink rash as the fever settles
2. BLow-grade fever, a barking cough and stridor that are worse at night
3. CFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
4. DFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days

A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?

1. AAvoid sport, because exercise is unsafe with diabetes
2. BCheck glucose before playing and keep fast-acting carbohydrate at hand
3. CSkip the meal before the match to avoid high glucose
4. DInject an extra dose of insulin into the thigh just before he starts running

Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?

1. AHigh fever with a stiff neck and a purple rash
2. BEpisodes of crying with red-currant jelly stools
3. CSudden projectile vomiting with a palpable olive-shaped mass
4. DChronic diarrhoea, a swollen abdomen, irritability and poor weight gain

Five minutes after IM adrenaline for anaphylaxis, a child is still wheezing and has a low blood pressure. What should the nurse do?

1. AGive an oral antihistamine and a steroid instead of more adrenaline
2. BSit the child up and walk her around to raise the blood pressure
3. CGive a further dose of IM adrenaline as per protocol and call for advanced help
4. DWait 30 minutes for the first dose of adrenaline to take its full effect

Một trẻ 10 tuổi nghi viêm ruột thừa đau bụng dữ dội, nhưng đột nhiên đỡ đau nhiều. Điều này có thể có nghĩa là gì?

1. AThuốc giảm đau đã chữa khỏi vấn đề
2. BĐó là thay đổi bình thường không cần theo dõi
3. CViêm ruột thừa đã khỏi và trẻ có thể về nhà
4. DRuột thừa có thể đã thủng; báo ngay