1.Easy
Which advice about infant sleep reduces the risk of sudden infant death?
- APlace the baby on the stomach on a soft mattress so that the baby cannot choke on milk
- BUse soft pillows and bumpers to protect the baby
- CLet the baby sleep on a sofa with a parent
- DPlace the baby on the back on a firm, flat surface without pillows or soft toys
2.Easy
Which principle is central to family-centred care?
- AVisiting is limited so the child can rest
- BOnly staff make decisions about the child's care and treatment
- CParents should leave during all procedures
- DParents and family are partners in the child's care
3.Easy
Which five signs make up the Apgar score?
- AOxygen saturation, temperature, reflexes, weight and feeding
- BBreathing rate, blood glucose, length, muscle tone and cry
- CHeart rate, breathing effort, muscle tone, reflex response and colour
- DHeart rate, blood pressure, temperature, weight and colour
4.Medium
A child with suspected measles is admitted. Which precaution is most important?
- AContact precautions only, with gloves
- BAirborne precautions, ideally in a negative-pressure room
- CNo special precautions once the rash appears
- DDroplet precautions in a shared bay
5.Medium
Which activity best supports a 9-year-old during a long hospital stay?
- APlaying with baby toys in the toddler playroom with younger children
- BSchoolwork and contact with classmates, plus games or hobbies
- CWatching television alone for most of the day
- DStaying in bed with no visitors to rest
6.Medium
A 9-month-old has episodes of severe crying with knees drawn up, and passes a stool that looks like red-currant jelly. What is the likely cause?
- ACoeliac disease
- BIntussusception
- CConstipation
- DPyloric stenosis
7.Hard
A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?
- AMove him to a room with toddlers so the ward is less lonely
- BAsk his parents to stay with him at all times and make decisions for him
- CSet a strict timetable for him that staff decide without his input
- DArrange contact with friends and let him control parts of his daily routine
8.Hard
A child with a central venous catheter for chemotherapy develops fever and rigors shortly after the line is flushed. What should the nurse suspect?
- AA catheter-related bloodstream infection
- BA normal reaction to the chemotherapy
- CA blocked line that needs more forceful flushing
- DAn allergy to the saline flush
Answer key
- 1. D · Place the baby on the back on a firm, flat surface without pillows or soft toys
- 2. D · Parents and family are partners in the child's care
- 3. C · Heart rate, breathing effort, muscle tone, reflex response and colour
- 4. B · Airborne precautions, ideally in a negative-pressure room
- 5. B · Schoolwork and contact with classmates, plus games or hobbies
- 6. B · Intussusception
- 7. D · Arrange contact with friends and let him control parts of his daily routine
- 8. A · A catheter-related bloodstream infection
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