1.Easy
When can a child stop using a booster seat in the car?
- AAt 4 years of age, whatever the child's height
- BWhen the adult seat belt fits properly across the shoulder and upper thighs
- CAs soon as the child can fasten the seat belt alone
- DWhen the child starts primary school and can sit still for a whole journey
2.Easy
Which clotting factor is missing or low in haemophilia A?
- AFactor XIII
- BFactor VIII
- CFactor IX
- DFactor VII
3.Easy
Why is vitamin K given to newborns shortly after birth?
- ATo prevent bacterial eye infection after birth
- BTo protect against hepatitis B infection
- CTo prevent vitamin K deficiency bleeding
- DTo prevent jaundice in the first week of life
4.Medium
Which medicine may be used to close a patent ductus arteriosus in a preterm baby?
- AIbuprofen or indomethacin
- BProstaglandin E1
- CSalbutamol
- DIntravenous furosemide infusion
5.Medium
A child has tinea capitis (ringworm of the scalp). Which treatment is usually needed?
- AShaving the head, with no medicine
- BA topical antifungal cream alone
- COral antibiotics such as amoxicillin
- DAn oral antifungal medicine
6.Medium
Until when is a child with chickenpox usually considered infectious?
- AFor 6 weeks after the rash appears
- BOnly during the day before the rash appears
- CUntil the fever has gone for 24 hours
- DUntil all the blisters have crusted over
7.Hard
A child with cystic fibrosis has bulky, greasy, foul-smelling stools and is not gaining weight despite a good appetite. What does this most likely indicate?
- APoor fat absorption; the pancreatic enzyme dose or timing needs review
- BA normal finding that needs no action
- CThe child is eating too much fat, so all fat should be removed from the diet
- DA sign that the lungs are improving
8.Hard
A 2-year-old is having a tonic–clonic seizure with a high fever. What should the nurse do first?
- APut a spoon in the child's mouth to protect the tongue
- BProtect the child from injury, time the seizure and turn the child onto the side
- CHold the child's limbs firmly to stop the movements and prevent injury from the jerking
- DPut the child in a cool bath
Answer key
- 1. B · When the adult seat belt fits properly across the shoulder and upper thighs
- 2. B · Factor VIII
- 3. C · To prevent vitamin K deficiency bleeding
- 4. A · Ibuprofen or indomethacin
- 5. D · An oral antifungal medicine
- 6. D · Until all the blisters have crusted over
- 7. A · Poor fat absorption; the pancreatic enzyme dose or timing needs review
- 8. B · Protect the child from injury, time the seizure and turn the child onto the side
Full step-by-step solutions: practise this topic on examproblems.com.