1.Easy
In an asthma action plan based on peak flow, what does the green zone mean?
- AThis is an emergency; call for help at once
- BUse the reliever more often and contact the doctor today
- CAsthma is under control; continue usual treatment
- DStop the preventer because it is no longer needed
2.Easy
Where should a healthcare provider check for a pulse in an unresponsive infant?
- AThe carotid artery
- BThe brachial artery
- CThe temporal artery
- DThe radial artery
3.Easy
At about what age do most children say their first meaningful words?
- AAbout 6 months
- BAbout 12 months
- CAbout 2 years
- DAbout 4 months
4.Medium
A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?
- AAn inhaled foreign body
- BBronchiolitis
- CA first attack of asthma
- DViral croup
5.Medium
A child with suspected measles is admitted. Which precaution is most important?
- AContact precautions only, with gloves
- BNo special precautions once the rash appears
- CDroplet precautions in a shared bay
- DAirborne precautions, ideally in a negative-pressure room
6.Medium
What is "assent" in children's care?
- AThe doctor's decision about which treatment is best
- BA form that lets the hospital treat any child without parental consent
- CThe legal consent signed by the parent for surgery
- DThe child's agreement to care, sought alongside the parents' consent
7.Hard
A 3-year-old who was toilet trained starts wetting the bed during a hospital stay. The parents are worried. What should the nurse say?
- AThis proves the child has a serious kidney disease
- BThe child is being naughty and should be told off
- CThe child should be put back into nappies permanently, and toilet training should not be tried again for years
- DRegression is a common response to the stress of hospital and usually passes; do not punish the child
8.Hard
Which finding in an infant with suspected reflux needs prompt medical review?
- AHiccups after feeds that settle on their own
- BSpitting up more after a large feed
- CSmall posseting after feeds in a contented, growing baby
- DPoor weight gain, refusing feeds and blood in the vomit
Answer key
- 1. C · Asthma is under control; continue usual treatment
- 2. B · The brachial artery
- 3. B · About 12 months
- 4. A · An inhaled foreign body
- 5. D · Airborne precautions, ideally in a negative-pressure room
- 6. D · The child's agreement to care, sought alongside the parents' consent
- 7. D · Regression is a common response to the stress of hospital and usually passes; do not punish the child
- 8. D · Poor weight gain, refusing feeds and blood in the vomit
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