1.Easy
In an asthma action plan based on peak flow, what does the green zone mean?
- AAsthma is under control; continue usual treatment
- BStop the preventer because it is no longer needed
- CThis is an emergency; call for help at once
- DUse the reliever more often and contact the doctor today
2.Easy
How is sickle cell disease inherited?
- ANot inherited; it is acquired
- BX-linked recessive
- CAutosomal recessive
- DAutosomal dominant
3.Easy
Bedwetting at night is usually not considered a problem needing treatment until about what age?
- AAbout 5 years
- BAbout 14 years
- CAbout 10 years
- DAbout 2 years
4.Medium
Which factors can trigger a sickle cell crisis?
- ADrinking plenty of water during hot weather
- BSleeping for long periods in a warm room
- CEating a high-iron diet and taking daily multivitamins
- DDehydration, infection, cold and low oxygen
5.Medium
Which statement reflects current guidance about introducing allergenic foods, such as egg and peanut, to infants?
- AThey should be given from 6 weeks, mixed into the baby's milk
- BThey can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
- CThey should be avoided until at least 3 years of age, because early contact is what causes most food allergies
- DThey should only be given after a skin prick test in every infant
6.Medium
When is the risk of bleeding after a tonsillectomy highest?
- AIn the first 24 hours and again about 5 to 10 days later
- BOnly during the first 2 hours after surgery
- CThe risk stays exactly the same on every day for the first month
- DOnly after 3 weeks, when the throat is fully healed
7.Hard
A 10-year-old with cystic fibrosis is going to play football on a hot day. What should the nurse teach?
- AAvoid all exercise, because it damages the lungs
- BRestrict fluids to prevent extra mucus
- CDrink more and add extra salt, because more salt is lost in sweat
- DSkip the pancreatic enzymes on sports days to avoid stomach cramps
8.Hard
A 5-week-old with pyloric stenosis is scheduled for surgery. Blood tests show low chloride and a metabolic alkalosis. What is the priority before surgery?
- AGive large milk feeds before theatre to build up the baby's strength and weight
- BGive an antacid
- CCorrect the dehydration and electrolyte imbalance with IV fluids as prescribed
- DTake the baby to theatre immediately
Answer key
- 1. A · Asthma is under control; continue usual treatment
- 2. C · Autosomal recessive
- 3. A · About 5 years
- 4. D · Dehydration, infection, cold and low oxygen
- 5. B · They can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
- 6. A · In the first 24 hours and again about 5 to 10 days later
- 7. C · Drink more and add extra salt, because more salt is lost in sweat
- 8. C · Correct the dehydration and electrolyte imbalance with IV fluids as prescribed
Full step-by-step solutions: practise this topic on examproblems.com.