1.Easy
What is the usual normal range for the platelet count?
- AAbout 150 to 400 × 109/L
- BAbout 4 to 11 × 109/L
- CAbout 15 to 40 × 109/L
- DAbout 1,500 to 4,000 × 109/L
2.Easy
At which times after birth is the Apgar score routinely assessed?
- AOnly once, at 24 hours of age
- BAt 10 minutes and at 30 minutes
- CAt 1 minute and at 5 minutes
- DAt birth and again at 1 hour
3.Easy
How should liquid medicine be given to an infant?
- AQuickly with a syringe aimed at the back of the throat
- BSlowly, by oral syringe, into the cheek
- CWith a household teaspoon from the kitchen drawer
- DMixed into a full bottle of milk
4.Medium
A child with suspected epiglottitis is drooling and sitting forward. Which action must be avoided?
- AExamining the throat with a tongue depressor
- BKeeping the child with a parent
- CCalling a team skilled in airway management
- DAllowing the child to sit in the position they choose
5.Medium
Why should a child with rubella avoid contact with pregnant women?
- APregnant women always develop severe pneumonia if they catch rubella
- BRubella in early pregnancy can cause serious birth defects
- CRubella causes pregnant women to go into labour early
- DThe child may catch a pregnancy-related infection
6.Medium
Which advice is first-line for a school-age child with functional constipation?
- AAvoiding the toilet at school until the problem has settled
- BMore fibre and fluids, a regular toilet time after meals and laxatives if prescribed
- CDaily enemas given at home by the parents for several months, without other changes
- DCutting out all fruit and vegetables to soften the stools
7.Hard
A child is admitted with fever, neck stiffness and a non-blanching rash. Which action is the priority?
- AWait for a lumbar puncture before any treatment
- BStart droplet precautions and get urgent medical review so antibiotics are not delayed
- CGive an antipyretic and recheck in 4 hours
- DPlace the child in a shared bay with other children and recheck the rash and temperature in 4 hours
8.Hard
A child has a swollen, red eyelid with fever, pain on moving the eye and blurred vision. What should the nurse suspect?
- ASimple conjunctivitis, treated with eye drops at home
- BAn insect bite, which needs only a cold compress
- COrbital cellulitis, which needs urgent review and IV antibiotics
- DA stye, which will drain on its own with warm compresses
Answer key
- 1. A · About 150 to 400 × 109/L
- 2. C · At 1 minute and at 5 minutes
- 3. B · Slowly, by oral syringe, into the cheek
- 4. A · Examining the throat with a tongue depressor
- 5. B · Rubella in early pregnancy can cause serious birth defects
- 6. B · More fibre and fluids, a regular toilet time after meals and laxatives if prescribed
- 7. B · Start droplet precautions and get urgent medical review so antibiotics are not delayed
- 8. C · Orbital cellulitis, which needs urgent review and IV antibiotics
Full step-by-step solutions: practise this topic on examproblems.com.