1.Dễ
Which clotting factor is missing or low in haemophilia A?
- AFactor IX
- BFactor VIII
- CFactor XIII
- DFactor VII
2.Dễ
Which feature is typical of whooping cough (pertussis) in an older child?
- AA barking cough and a hoarse voice that are worse at night
- BA wheeze heard only on breathing out, with a runny nose
- CDrooling, a high fever and difficulty swallowing saliva
- DBouts of coughing that end with a "whoop" on breathing in
3.Dễ
Which food is a good source of iron for a toddler?
- AApple juice with every meal
- BPlain white rice and pasta
- CLarge amounts of cow's milk
- DLean red meat or iron-fortified cereal
4.Trung bình
Which injury in an infant is most suggestive of physical abuse?
- AA bruise on the shin of a walking toddler
- BPosterior rib fractures
- CA scraped knee in a 3-year-old
- DA greenstick fracture of the forearm after a fall from a slide
5.Trung bình
A 15-year-old seems very low in mood. Is it safe for the nurse to ask directly about suicidal thoughts?
- AYes; asking directly does not increase the risk and helps find those who need help
- BOnly if the parents give written permission first
- CNo; only a psychiatrist is allowed to ask this question
- DNo; asking about suicide may put the idea into the young person's head and raise the risk
6.Trung bình
A newborn is still wet a few minutes after birth. Which heat-loss mechanism is the main concern, and how is it prevented?
- AConvection; leave the baby uncovered in a draught
- BRadiation; move the cot close to an outside window
- CEvaporation; dry the baby straight away, including the head
- DConduction; place the baby on a cold firm surface
7.Khó
A parent asks whether giving paracetamol (acetaminophen) at the first sign of fever will prevent another febrile seizure. What is the best answer?
- ANo; it may ease discomfort but does not prevent febrile seizures
- BYes, but only if a cold bath is given at the same time
- CNo, because paracetamol can cause febrile seizures
- DYes; giving it every 4 hours during a fever will always prevent seizures
8.Khó
Which bedside check is recommended before each feed to confirm the position of a child's nasogastric tube?
- AAsk the child whether the tube feels comfortable and check the length mark only
- BCheck that aspirate from the tube is acidic, using the pH limit in local policy
- CInject air and listen over the stomach for a "whoosh"
- DPlace the end of the tube in water and look for bubbles
Đáp án
- 1. B · Factor VIII
- 2. D · Bouts of coughing that end with a "whoop" on breathing in
- 3. D · Lean red meat or iron-fortified cereal
- 4. B · Posterior rib fractures
- 5. A · Yes; asking directly does not increase the risk and helps find those who need help
- 6. C · Evaporation; dry the baby straight away, including the head
- 7. A · No; it may ease discomfort but does not prevent febrile seizures
- 8. B · Check that aspirate from the tube is acidic, using the pH limit in local policy
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