1.Easy
Which transmission-based precautions are used for a hospitalised child with chickenpox?
- AAirborne and contact precautions
- BDroplet precautions only, in a shared bay
- CStandard precautions only
- DContact precautions only
2.Easy
From about what age can whole cow's milk be given as a main drink?
- ANot until about 2 years
- BAbout 3 months
- CAbout 6 months
- DAbout 12 months
3.Easy
Which pattern is typical of roseola infantum?
- AA bright red rash on both cheeks, like a slap
- BItchy blisters in crops that crust over within days
- CA rash that appears first, followed by a whole week of high fever and cough
- DHigh fever for a few days, then a pink rash as the fever settles
4.Medium
After a cardiac catheterisation through the femoral artery, which assessment is essential?
- AUrine specific gravity at every void
- BPulse, colour, warmth and sensation of the leg below the puncture site
- CBowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
- DPupil size and reaction every 15 minutes
5.Medium
How should oral rehydration solution be given to a child with mild to moderate dehydration who is vomiting?
- AAs one large drink every few hours
- BMixed with fruit juice to improve the taste
- COnly after the vomiting has stopped for 24 hours, to avoid further losses
- DIn small amounts, frequently, for example with a spoon or syringe
6.Medium
Which finding suggests repeated self-induced vomiting?
- ACalluses on the knuckles and loss of tooth enamel
- BA butterfly rash on the cheeks and patchy hair loss
- CYellow skin, itching and dark urine
- DSwelling of the ankles and puffy eyes
7.Hard
Which child is most appropriate to assign to a practical (enrolled) nurse?
- AA 7-year-old 2 days after an appendicectomy, stable on oral analgesia
- BA 5-year-old just back from tonsillectomy who keeps swallowing
- CAn infant with bronchiolitis who needs more and more oxygen
- DA 9-year-old newly admitted with diabetic ketoacidosis on an insulin infusion
8.Hard
Which child on the renal ward should the nurse assess first?
- AA 6-year-old on IV antibiotics for a UTI who has had no fever for 24 hours
- BA 7-year-old with glomerulonephritis who has a severe headache and blurred vision
- CA 4-year-old with nephrotic syndrome and mild puffy eyelids, stable since admission
- DA 2-year-old after hypospadias repair with clear urine in the catheter bag
Answer key
- 1. A · Airborne and contact precautions
- 2. D · About 12 months
- 3. D · High fever for a few days, then a pink rash as the fever settles
- 4. B · Pulse, colour, warmth and sensation of the leg below the puncture site
- 5. D · In small amounts, frequently, for example with a spoon or syringe
- 6. A · Calluses on the knuckles and loss of tooth enamel
- 7. A · A 7-year-old 2 days after an appendicectomy, stable on oral analgesia
- 8. B · A 7-year-old with glomerulonephritis who has a severe headache and blurred vision
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