1.Easy
Which signs suggest a urinary tract infection in an infant?
- AA clear runny nose and a mild cough
- BPain in the lower back that the baby points to
- CFever, poor feeding, vomiting and irritability
- DClear complaints of burning and stinging when passing urine
2.Easy
A toddler may have swallowed a household chemical. What is the correct first advice for the parent?
- ACall the poison information centre or emergency services straight away
- BMake the child vomit by putting a finger in the throat, then call the doctor
- CGive salt water to induce vomiting
- DWait to see if symptoms develop
3.Easy
Which finding in the fingers is typical of long-standing cyanotic heart disease?
- ASpoon-shaped, thin nails
- BSwan-neck deformity of the fingers
- CWebbing between the fingers
- DClubbing of the fingertips
4.Medium
A child weighs 20 kg. Which minimum urine output suggests adequate kidney perfusion?
- AAbout 20 mL per hour
- BAny amount, as long as the child is drinking
- CAbout 5 mL per hour
- DAbout 2 mL per hour
5.Medium
Which signs in a 2-day-old baby suggest sepsis?
- ASmall white spots on the nose and a pink face
- BUnstable temperature, poor feeding, lethargy and breathing difficulty
- CRegular feeding with six wet nappies a day
- DHiccups after feeds with a strong, lusty cry between feeds
6.Medium
A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?
- AA first attack of asthma
- BViral croup
- CAn inhaled foreign body
- DBronchiolitis
7.Hard
A 3-year-old was pulled from a pool after a brief submersion. She is now awake and coughs now and then. What should the nurse advise?
- AGive her a warm drink and put her to bed for a long sleep
- BTake her straight home, because she is awake, talking and only coughing now and then
- CObserve her in hospital for several hours, as breathing problems can develop later
- DOnly seek care if she develops a fever in the next week
8.Hard
Which order should the nurse question for a child with neutropenia after chemotherapy?
- AReport a temperature of 38 °C or more immediately
- BPerform careful hand hygiene before every contact
- CMonitor the temperature by the axillary or oral route
- DMeasure the temperature rectally every 4 hours
Answer key
- 1. C · Fever, poor feeding, vomiting and irritability
- 2. A · Call the poison information centre or emergency services straight away
- 3. D · Clubbing of the fingertips
- 4. A · About 20 mL per hour
- 5. B · Unstable temperature, poor feeding, lethargy and breathing difficulty
- 6. C · An inhaled foreign body
- 7. C · Observe her in hospital for several hours, as breathing problems can develop later
- 8. D · Measure the temperature rectally every 4 hours
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