1.Easy
Which measure helps an infant with a cleft palate to feed?
- AThickening every feed with baby cereal from birth onwards to slow the milk
- BFeeding only through a nasogastric tube until school age
- CFeeding lying flat to let gravity move the milk along
- DA special bottle or teat, an upright position and frequent burping
2.Easy
How is Duchenne muscular dystrophy inherited?
- AIt is not inherited and is caused by an infection
- BAutosomal dominant, affecting both sexes equally
- CX-linked recessive, so it mainly affects boys
- DAutosomal recessive, mainly affecting girls
3.Easy
Why do girls taking isotretinoin for severe acne need strict pregnancy prevention?
- AIt stops ovulation permanently
- BIt causes serious birth defects
- CIt makes contraceptive pills fail
- DIt causes heavy periods
4.Medium
Which defect classically causes a continuous "machinery" murmur?
- ATetralogy of Fallot
- BAtrial septal defect
- CIsolated pulmonary stenosis with an intact ventricular septum
- DPatent ductus arteriosus
5.Medium
Which statement about patient-controlled analgesia (PCA) for a child is correct?
- AThe nurse should press it every 5 minutes, day and night, to keep the pain away
- BOnly the child presses the button, unless a protocol says otherwise
- CAny visitor may press it if the child seems uncomfortable
- DParents should press the button whenever the child is asleep
6.Medium
How should the nurse position the ear when giving ear drops to a 2-year-old?
- ALeave the pinna alone and tilt the head
- BPull the pinna gently up and back
- CPull the pinna gently down and back
- DPull the earlobe gently forward and up
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
- BThe child is eating too much fat, so all fat should be removed from the diet
- CA sign that the lungs are improving
- DA normal finding that needs no action
8.Hard
A toddler with tetralogy of Fallot is crying hard and becomes deeply cyanotic and limp. What should the nurse do first?
- APlace the child in a knee–chest position, keep them calm and call for help
- BMeasure the head circumference
- CTake the child for a walk to calm down
- DLie the child flat with the legs raised to increase the return of blood to the heart
Answer key
- 1. D · A special bottle or teat, an upright position and frequent burping
- 2. C · X-linked recessive, so it mainly affects boys
- 3. B · It causes serious birth defects
- 4. D · Patent ductus arteriosus
- 5. B · Only the child presses the button, unless a protocol says otherwise
- 6. C · Pull the pinna gently down and back
- 7. A · Poor fat absorption; the pancreatic enzyme dose or timing needs review
- 8. A · Place the child in a knee–chest position, keep them calm and call for help
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