1.Dễ
Which chromosome pattern causes Turner syndrome?
- AAn extra copy of chromosome 21
- BAn extra copy of chromosome 18
- CAn extra X chromosome (47,XXY) in a boy
- DA single X chromosome (45,X) in a girl
2.Dễ
What does the HbA1c blood test show in a child with diabetes?
- AThe blood glucose at the exact moment of the test
- BWhether ketones are present in the blood right now
- CThe average blood glucose over about the past 2–3 months
- DThe amount of insulin the pancreas is making on the day of the test
3.Dễ
Which measure helps an infant with a cleft palate to feed?
- AFeeding lying flat to let gravity move the milk along
- BFeeding only through a nasogastric tube until school age
- CThickening every feed with baby cereal from birth onwards to slow the milk
- DA special bottle or teat, an upright position and frequent burping
4.Trung bình
Which approach best helps a 4-year-old during a vaccination?
- ATell the child the injection will not hurt at all
- BHave staff hold the child flat on the couch so the injection is quick
- CHold the child upright on a parent's lap and use distraction, such as blowing bubbles
- DPromise a reward only if the child stays completely still and does not cry
5.Trung bình
Which snack is safest for a 2-year-old?
- AA small bowl of popcorn
- BA handful of whole peanuts
- CSmall pieces of soft cooked vegetables
- DWhole grapes from the fruit bowl
6.Trung bình
A child is sent home after a minor head injury. Which sign should parents report straight away?
- AMild soreness at the site
- BWanting a nap at the usual time
- CA small bump on the forehead
- DRepeated vomiting
7.Khó
A newborn becomes deeply cyanotic within hours of birth and does not improve with oxygen. A prostaglandin infusion is started. What is its purpose?
- ATo keep the ductus arteriosus open so that the two circulations can mix
- BTo strengthen heart muscle contraction and raise blood pressure
- CTo close the ductus arteriosus and send all blood through the lungs
- DTo dilate the airways so that oxygen can reach the alveoli
8.Khó
Một trẻ 4 tuổi sốt cao, chảy dãi, ngồi chồm về trước với cổ ưỡn và trông lo sợ. Điều dưỡng nên làm gì trước tiên?
- ACho trẻ nằm phẳng và dùng đè lưỡi nhìn vào họng để xác nhận chỗ sưng
- BĐặt kim luồn tĩnh mạch trước khi gọi hỗ trợ
- CGiữ trẻ bình tĩnh và ở tư thế thẳng đứng với cha mẹ, và gọi ê-kíp thành thạo xử trí đường thở
- DLấy phết họng để xác định tác nhân
Đáp án
- 1. D · A single X chromosome (45,X) in a girl
- 2. C · The average blood glucose over about the past 2–3 months
- 3. D · A special bottle or teat, an upright position and frequent burping
- 4. C · Hold the child upright on a parent's lap and use distraction, such as blowing bubbles
- 5. C · Small pieces of soft cooked vegetables
- 6. D · Repeated vomiting
- 7. A · To keep the ductus arteriosus open so that the two circulations can mix
- 8. C · Giữ trẻ bình tĩnh và ở tư thế thẳng đứng với cha mẹ, và gọi ê-kíp thành thạo xử trí đường thở
Lời giải đầy đủ từng bước: hãy luyện chủ đề này trên examproblems.com.