Phiếu bài tập Điều dưỡng nhi khoa có đáp án

At about what age do most children start combining two words, such as "more milk"?

1. AAbout 9 months
2. BAbout 2 years
3. CAbout 12 months
4. DAbout 4 years

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 low platelet count with bruising and petechiae
4. DA high red cell count with headache and flushing

Which finding is typical of impetigo?

1. AA target-shaped rash with a dusky, pale centre on the palms
2. BSilvery scales on the elbows and knees
3. CTiny burrows between the fingers
4. DHoney-coloured crusts, often around the nose and mouth

A child has impetigo. Which advice helps to stop it spreading?

1. ACover the crusts with a thick layer of petroleum jelly and leave them
2. BShare flannels and towels so the whole family is treated
3. CUse separate towels, wash hands often and keep nails short
4. DPick the crusts off daily so the skin heals faster

A toddler refuses a liquid medicine. Which approach is appropriate?

1. AMix it into a full bottle of milk or juice for the whole day
2. BMix it with a small spoonful of food, if the pharmacist says this is safe
3. CTell the child it is a sweet so that he takes it happily
4. DHold the child's nose firmly until he has to open his mouth to breathe

How is a child usually positioned for a lumbar puncture?

1. AStanding and leaning against the wall
2. BOn the side, curled up with knees drawn up and head bent forward
3. CFlat on the back with the legs straight and a small pillow under the head
4. DProne with a pillow under the chest

A child treated with intravenous immunoglobulin (IVIG) for Kawasaki disease is due her MMR vaccine next week. What should the nurse know?

1. AIVIG makes vaccines unnecessary, so MMR can be skipped
2. BMMR should be given early, because IVIG weakens the immune system
3. CLive vaccines are usually delayed for several months after IVIG
4. DMMR can be given safely the same day as the next IVIG dose

A 6-month-old has just learned to roll over. Which safety advice is most urgent now?

1. ATurn pan handles towards the back of the stove and fit a guard around the cooker
2. BInstall locks on all kitchen cupboards and drawers
3. CNever leave her alone on a changing table, bed or sofa
4. DTeach her not to touch the hot oven door