1.Easy
Bedwetting at night is usually not considered a problem needing treatment until about what age?
- AAbout 2 years
- BAbout 5 years
- CAbout 14 years
- DAbout 10 years
2.Easy
Why should honey not be given to babies under 12 months?
- AIt can contain spores that cause infant botulism
- BIt causes tooth decay within days in a baby's new teeth
- CIt is too low in calories
- DIt causes jaundice
3.Easy
Which finding inside the mouth is typical of early measles?
- AA thick white coating on the tongue and cheeks that can be wiped off
- BKoplik spots: small white spots on the inside of the cheeks
- CA bright red "strawberry" tongue with large papillae
- DPainful blisters on the tongue, gums and palate
4.Medium
Which measure is most important in preventing infection in a child with neutropenia?
- AWearing a mask only when the child has a fever
- BKeeping all visitors, including the parents, out of the child's room
- CGiving routine antibiotics to all family members
- DCareful hand hygiene by everyone in contact with the child
5.Medium
An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?
- ASerum bilirubin
- BPlatelet count
- CSerum potassium
- DSerum amylase and lipase
6.Medium
How is amblyopia (lazy eye) commonly treated in young children?
- APatching or blurring the stronger eye so the weaker eye works harder
- BEye exercises alone, without any glasses, drops or patches
- CWaiting until adulthood, when surgery can correct it
- DPatching the weaker eye so that it can rest and recover
7.Hard
A child with Hirschsprung disease awaiting surgery develops fever, explosive diarrhoea and a very swollen abdomen. What should the nurse suspect?
- AThe disease has resolved itself
- BOveruse of laxatives at home
- CEnterocolitis, an emergency
- DOrdinary viral gastroenteritis
8.Hard
Which newborn should the nurse assess first?
- AA 1-day-old with tiny white spots (milia) on the nose
- BA 1-day-old with bluish hands and feet but pink lips and trunk
- CA 3-day-old with mild facial jaundice who is feeding well
- DA 2-hour-old with grunting, nasal flaring and a respiratory rate of 74/min
Answer key
- 1. B · About 5 years
- 2. A · It can contain spores that cause infant botulism
- 3. B · Koplik spots: small white spots on the inside of the cheeks
- 4. D · Careful hand hygiene by everyone in contact with the child
- 5. C · Serum potassium
- 6. A · Patching or blurring the stronger eye so the weaker eye works harder
- 7. C · Enterocolitis, an emergency
- 8. D · A 2-hour-old with grunting, nasal flaring and a respiratory rate of 74/min
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