1.简单
Which two vessels does the ductus arteriosus connect?
- AThe superior vena cava and the right atrium
- BThe pulmonary artery and the aorta
- CThe umbilical vein and the inferior vena cava
- DThe right atrium and the left atrium
2.简单
What does the HbA1c blood test show in a child with diabetes?
- AThe average blood glucose over about the past 2–3 months
- BWhether ketones are present in the blood right now
- CThe amount of insulin the pancreas is making on the day of the test
- DThe blood glucose at the exact moment of the test
3.简单
Which finding suggests hydrocephalus in an infant?
- AA small head with a closed fontanelle at birth
- BA rapidly increasing head circumference with a bulging fontanelle
- CA sunken fontanelle with dry mucous membranes and few wet nappies
- DA flat area on the back of the head
4.中等
What should the nurse do before giving a dose of digoxin to an infant?
- AMeasure the blood pressure and give the dose only if it is above the normal range
- BMeasure the temperature and give the dose only if there is no fever
- CCount the radial pulse for 15 seconds and multiply by four
- DCount the apical pulse for a full minute and check it against the prescribed limits
5.中等
How can the nurse best support a child with autism on a children's ward?
- APlace the child in the busiest bay near the nurses' station
- BExplain all procedures only at the very last minute to avoid days of worry
- CKeep routines predictable, reduce noise and use visual schedules
- DChange the nurse each shift so the child meets more people
6.中等
A child's asthma action plan shows he is in the yellow zone. What should he do?
- AStop all medicines and wait to see if the symptoms pass
- BDouble the preventer dose and do nothing else
- CUse the reliever as the plan says and contact the doctor if it does not help
- DGo straight to the emergency department without using any medicine first
7.困难
A child with eczema suddenly develops clusters of painful, punched-out blisters and erosions with a fever. What should the nurse suspect?
- AChickenpox, which is mild and needs no specific treatment
- BEczema herpeticum, which needs urgent antiviral treatment
- CAn allergic reaction to the emollient
- DA normal eczema flare that needs more emollient
8.困难
Which statement by the parent of a child with peanut allergy shows a need for further teaching?
- A"I'll read food labels for peanuts every time I shop."
- B"I'll call an ambulance every time I use the auto-injector, even if she seems to recover quickly."
- C"I'll check the use-by date on her auto-injectors regularly and replace them before they expire."
- D"If she has a bad reaction, I'll give an antihistamine and wait an hour before using the auto-injector."
答案
- 1. B · The pulmonary artery and the aorta
- 2. A · The average blood glucose over about the past 2–3 months
- 3. B · A rapidly increasing head circumference with a bulging fontanelle
- 4. D · Count the apical pulse for a full minute and check it against the prescribed limits
- 5. C · Keep routines predictable, reduce noise and use visual schedules
- 6. C · Use the reliever as the plan says and contact the doctor if it does not help
- 7. B · Eczema herpeticum, which needs urgent antiviral treatment
- 8. D · "If she has a bad reaction, I'll give an antihistamine and wait an hour before using the auto-injector."
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