1.Easy
In an asthma action plan based on peak flow, what does the green zone mean?
- AAsthma is under control; continue usual treatment
- BUse the reliever more often and contact the doctor today
- CThis is an emergency; call for help at once
- DStop the preventer because it is no longer needed
2.Easy
Which heart rate range is typical for a healthy newborn at rest?
- AAbout 110 to 160 beats per minute
- BAbout 70 to 110 beats per minute
- CAbout 60 to 100 beats per minute
- DAbout 200 to 260 beats per minute
3.Easy
According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?
- AIndustry versus inferiority
- BIntimacy versus isolation
- CInitiative versus guilt
- DTrust versus mistrust
4.Medium
Why are codeine and tramadol not recommended for children under 12 years?
- AThey are too weak to relieve moderate pain, so stronger opioids are always preferred
- BThey always cause allergies
- CSome children metabolise them very quickly, causing dangerous breathing depression
- DThey can only be given intravenously
5.Medium
How should the nurse position the ear when giving ear drops to a 2-year-old?
- ALeave the pinna alone and tilt the head
- BPull the earlobe gently forward and up
- CPull the pinna gently up and back
- DPull the pinna gently down and back
6.Medium
Which snack is safest for a 2-year-old?
- AA small bowl of popcorn
- BA handful of whole peanuts
- CSmall pieces of soft cooked vegetables
- DWhole grapes from the fruit bowl
7.Hard
A conscious 6-month-old is choking and cannot cry or cough. Which technique is appropriate?
- AHolding the baby upside down by the ankles and shaking
- BUp to 5 back blows followed by up to 5 chest thrusts
- CA blind finger sweep of the mouth
- DAbdominal thrusts
8.Hard
During an insulin infusion for diabetic ketoacidosis, why is potassium monitored closely?
- APotassium has no role in DKA; it is a routine test only
- BPotassium is needed to dissolve the insulin in the drip
- CInsulin moves potassium into the cells, so blood potassium can fall sharply
- DInsulin causes the kidneys to hold on to potassium, so blood levels rise dangerously
Answer key
- 1. A · Asthma is under control; continue usual treatment
- 2. A · About 110 to 160 beats per minute
- 3. C · Initiative versus guilt
- 4. C · Some children metabolise them very quickly, causing dangerous breathing depression
- 5. D · Pull the pinna gently down and back
- 6. C · Small pieces of soft cooked vegetables
- 7. B · Up to 5 back blows followed by up to 5 chest thrusts
- 8. C · Insulin moves potassium into the cells, so blood potassium can fall sharply
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