Phiếu bài tập Điều dưỡng nhi khoa có đáp án

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

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

For which child is a 0 to 10 numerical pain rating scale usually suitable?

1. AA newborn after a heel prick
2. BA 2-year-old with a recent fracture
3. CA 3-year-old who cannot yet count
4. DA child of about 8 years or older

Which side effects are common after a dose of salbutamol?

1. ATremor and a fast heart rate
2. BDrowsiness and slow breathing
3. CWeight gain and high blood sugar
4. DOral thrush and a hoarse voice

A child with suspected measles is admitted. Which precaution is most important?

1. AContact precautions only, with gloves
2. BNo special precautions once the rash appears
3. CDroplet precautions in a shared bay
4. DAirborne precautions, ideally in a negative-pressure room

How are feeds usually restarted after a pyloromyotomy for pyloric stenosis?

1. AWith large, full-volume feeds straight away to make up for the weight lost
2. BWithin hours, increasing gradually as per protocol; some vomiting can be expected
3. CNot until 10 days after surgery, when the wound has healed
4. DOnly by nasogastric tube for the first month at home

Một trẻ tuổi đi học bị hen dùng corticosteroid dạng hít mỗi ngày. Điều dưỡng nên hướng dẫn điều gì?

1. ANuốt bột thuốc với nước
2. BNgừng ngay khi triệu chứng cải thiện
3. CSúc miệng sau mỗi liều và dùng buồng đệm
4. DChỉ dùng khi lên cơn hen

A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?

1. AMove him to a room with toddlers so the ward is less lonely
2. BSet a strict timetable for him that staff decide without his input
3. CAsk his parents to stay with him at all times and make decisions for him
4. DArrange contact with friends and let him control parts of his daily routine

A child on a morphine infusion is very hard to wake, with a respiratory rate of 8 per minute and pinpoint pupils. What should the nurse do first?

1. AGive a sedative to keep the child calm
2. BLet the child sleep, as this shows the pain is controlled
3. CStop the infusion, support breathing and give naloxone as per protocol
4. DReduce the infusion rate slightly and recheck the child's breathing in an hour