1.Easy
Which sweetener must children with phenylketonuria (PKU) avoid?
- AGlucose
- BSucrose
- CFructose
- DAspartame
2.Easy
How should an infant with gastro-oesophageal reflux be placed to sleep?
- AOn the tummy to reduce reflux
- BOn the left side, wedged with pillows
- CSitting up in a car seat all night
- DOn the back, as for all babies
3.Easy
Into which airway does an inhaled foreign body most often go?
- ABoth main bronchi equally often
- BThe left upper lobe bronchus
- CThe left main bronchus
- DThe right main bronchus
4.Medium
How should an infant with heart failure be fed?
- ASmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
- BStop the feed when the baby tires and wait until the next scheduled feed
- CLarge feeds every 6 hours so the baby can rest in between
- DLying flat on the back so the baby does not need to hold the head up
5.Medium
Which sign shows that a baby is ready to start solid foods?
- AHas cut a first tooth
- BHas reached 6 weeks of age
- CStarts waking more often during the night and seems hungry after milk feeds
- DSits with support, holds the head steady and shows interest in food
6.Medium
A 9-month-old has episodes of severe crying with knees drawn up, and passes a stool that looks like red-currant jelly. What is the likely cause?
- APyloric stenosis
- BIntussusception
- CConstipation
- DCoeliac disease
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
- COnly seek care if she develops a fever in the next week
- DObserve her in hospital for several hours, as breathing problems can develop later
8.Hard
A child with a central venous catheter for chemotherapy develops fever and rigors shortly after the line is flushed. What should the nurse suspect?
- AA catheter-related bloodstream infection
- BA normal reaction to the chemotherapy
- CA blocked line that needs more forceful flushing
- DAn allergy to the saline flush
Answer key
- 1. D · Aspartame
- 2. D · On the back, as for all babies
- 3. D · The right main bronchus
- 4. A · Small, frequent feeds with rest breaks, using higher-energy milk if prescribed
- 5. D · Sits with support, holds the head steady and shows interest in food
- 6. B · Intussusception
- 7. D · Observe her in hospital for several hours, as breathing problems can develop later
- 8. A · A catheter-related bloodstream infection
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