1.Easy
Which measure helps an infant with a cleft palate to feed?
- AFeeding lying flat to let gravity move the milk along
- BA special bottle or teat, an upright position and frequent burping
- CThickening every feed with baby cereal from birth onwards to slow the milk
- DFeeding only through a nasogastric tube until school age
2.Easy
How is congenital hypothyroidism treated?
- AAn iodine-free diet from birth
- BRemoval of the thyroid gland in infancy
- CDaily levothyroxine, usually for life
- DA single dose of radioactive iodine
3.Easy
By about what age does the anterior fontanelle usually close?
- A12 to 18 months
- BAt birth
- C2 to 3 months
- D4 to 6 years
4.Medium
Which is the most accurate way to monitor fluid status in an infant with gastroenteritis?
- AChecking hair texture
- BAsking the parent each day whether the child seems thirsty or tired
- CDaily weight on the same scale, together with wet nappy counts
- DMeasuring head circumference
5.Medium
A child with suspected measles is admitted. Which precaution is most important?
- AAirborne precautions, ideally in a negative-pressure room
- BDroplet precautions in a shared bay
- CContact precautions only, with gloves
- DNo special precautions once the rash appears
6.Medium
Why are IV fluids for young children given with an infusion pump or a volume-control set?
- ATo prevent accidental fluid overload
- BTo remove bacteria from the fluid
- CTo allow the child to adjust the rate
- DTo make the fluid warmer before it enters the vein
7.Hard
Two weeks after a ventriculoperitoneal shunt was inserted, an infant has a fever, irritability and redness along the shunt tract. What should the nurse suspect?
- ANormal healing; no action needed
- BShunt infection; report it urgently
- CTeething, which explains the fever and the irritability
- DAn allergy to the hospital soap
8.Hard
Which treatment is not routinely recommended for a typical infant with bronchiolitis?
- AHelp with feeding or fluids if intake is poor
- BBronchodilators or corticosteroids
- CGentle nasal suction if the nose is blocked
- DOxygen if the saturation is persistently low
Answer key
- 1. B · A special bottle or teat, an upright position and frequent burping
- 2. C · Daily levothyroxine, usually for life
- 3. A · 12 to 18 months
- 4. C · Daily weight on the same scale, together with wet nappy counts
- 5. A · Airborne precautions, ideally in a negative-pressure room
- 6. A · To prevent accidental fluid overload
- 7. B · Shunt infection; report it urgently
- 8. B · Bronchodilators or corticosteroids
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