1.Dễ
How should jaundice that first appears within the first 24 hours of life be regarded?
- AAs harmless as long as the baby is feeding well
- BAs normal physiological jaundice that needs no follow-up
- CAs pathological until proven otherwise; it needs prompt evaluation
- DAs breast milk jaundice that is best treated by stopping breastfeeding
2.Dễ
Which illness causes a bright red rash on both cheeks, often called "slapped cheek"?
- AScarlet fever (group A streptococcus)
- BImpetigo (staphylococcus)
- CFifth disease (parvovirus B19)
- DMeasles (rubeola virus)
3.Dễ
Which newborn scalp swelling typically crosses the suture lines?
- ACaput succedaneum
- BCraniosynostosis
- CPositional plagiocephaly
- DCephalohaematoma
4.Trung bình
Which group of findings suggests Kawasaki disease?
- AFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- BLow-grade fever, a barking cough and stridor that are worse at night
- CHigh fever for 3 days, then a pink rash as the fever settles
- DFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
5.Trung bình
A 6-month-old's left eye turns inwards all the time. What should the nurse do?
- AReassure the parents that this always resolves by school age
- BAdvise them to wait until the child can read letters
- CCover the right eye with a patch at home without review
- DRefer the baby to an eye specialist
6.Trung bình
How can the nurse best support a child with autism on a children's ward?
- AChange the nurse each shift so the child meets more people
- BPlace the child in the busiest bay near the nurses' station
- CKeep routines predictable, reduce noise and use visual schedules
- DExplain all procedures only at the very last minute to avoid days of worry
7.Khó
Two children with cystic fibrosis are admitted to the same ward. Which precaution is important?
- AKeep them apart, not sharing rooms, equipment or play areas
- BPut them in the same room so they can support each other
- CAsk them to do their daily physiotherapy sessions together in the playroom
- DLet them share airway clearance equipment to save resources
8.Khó
Which finding at a 6-month check most needs referral?
- AThe baby is wary of a stranger
- BThe baby does not turn towards sounds or voices
- CThe baby puts every toy and object into the mouth
- DThe baby is not crawling yet
Đáp án
- 1. C · As pathological until proven otherwise; it needs prompt evaluation
- 2. C · Fifth disease (parvovirus B19)
- 3. A · Caput succedaneum
- 4. A · Fever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- 5. D · Refer the baby to an eye specialist
- 6. C · Keep routines predictable, reduce noise and use visual schedules
- 7. A · Keep them apart, not sharing rooms, equipment or play areas
- 8. B · The baby does not turn towards sounds or voices
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