1.Easy
How should an infant with gastro-oesophageal reflux be placed to sleep?
- AOn the left side, wedged with pillows
- BSitting up in a car seat all night
- COn the back, as for all babies
- DOn the tummy to reduce reflux
2.Easy
What are the three classic stages of separation anxiety in a hospitalised young child?
- ACrying, sleeping, eating
- BFear, trust, independence
- CDenial, anger, acceptance
- DProtest, despair, detachment
3.Easy
Why are breastfed infants often given a vitamin D supplement?
- AVitamin D prevents newborn jaundice
- BVitamin D prevents iron-deficiency anaemia
- CBreast milk contains little vitamin D
- DBreast milk contains too little protein for growth
4.Medium
Which task can the registered nurse delegate to a healthcare assistant (nursing assistant) on a children's ward?
- AAssessing pain after surgery and choosing the analgesia
- BTeaching a parent how to give insulin injections
- CCarrying out the admission assessment of a new patient
- DMeasuring and recording the vital signs of a stable child
5.Medium
A baby was born at 29 weeks and is now 2 months old. When should the routine 2-month vaccines be given?
- AOnly after the baby weighs 5 kg
- BOnly after the first birthday
- COnly when the baby reaches 2 months corrected age
- DNow, according to the baby's chronological age
6.Medium
A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?
- AGive the prescribed rescue medicine and call for emergency help
- BPut a tongue depressor between the child's teeth
- CWait another 15 minutes, because most seizures stop on their own
- DHold the child's arms and legs firmly to stop the movements
7.Hard
An infant with heart failure is breathing fast and working hard. Which position helps most?
- ASemi-upright, with the head and chest raised
- BProne with the head turned to the side
- CLying flat on the left side only
- DFlat on the back with the legs raised
8.Hard
The nurse has taught the parents of a child with epilepsy. Which statement shows a need for further teaching?
- A"I'll move hard objects away and put something soft under his head."
- B"When the jerking stops, I'll turn him onto his side."
- C"I'll time the seizure and give the rescue medicine if it lasts too long."
- D"I'll put a spoon in his mouth so he doesn't bite or swallow his tongue."
Answer key
- 1. C · On the back, as for all babies
- 2. D · Protest, despair, detachment
- 3. C · Breast milk contains little vitamin D
- 4. D · Measuring and recording the vital signs of a stable child
- 5. D · Now, according to the baby's chronological age
- 6. A · Give the prescribed rescue medicine and call for emergency help
- 7. A · Semi-upright, with the head and chest raised
- 8. D · "I'll put a spoon in his mouth so he doesn't bite or swallow his tongue."
Full step-by-step solutions: practise this topic on examproblems.com.