1.Easy
Into which airway does an inhaled foreign body most often go?
- AThe right main bronchus
- BThe left upper lobe bronchus
- CBoth main bronchi equally often
- DThe left main bronchus
2.Easy
What is the main feature of immune thrombocytopenia (ITP) in a child?
- AA missing clotting factor with bleeding into joints
- BA low platelet count with bruising and petechiae
- CA low white cell count with repeated infections
- DA high red cell count with headache and flushing
3.Easy
Which hygiene advice helps prevent urinary tract infections in girls?
- AWipe from front to back after using the toilet
- BHold urine in for as long as possible
- CWear tight nylon underwear and leggings
- DTake a long bubble bath every evening before bed
4.Medium
How is a child usually positioned for a lumbar puncture?
- AOn the side, curled up with knees drawn up and head bent forward
- BFlat on the back with the legs straight and a small pillow under the head
- CProne with a pillow under the chest
- DStanding and leaning against the wall
5.Medium
Which snack is safest for a 2-year-old?
- AWhole grapes from the fruit bowl
- BA handful of whole peanuts
- CSmall pieces of soft cooked vegetables
- DA small bowl of popcorn
6.Medium
A 6-month-old's left eye turns inwards all the time. What should the nurse do?
- ARefer the baby to an eye specialist
- BReassure the parents that this always resolves by school age
- CAdvise them to wait until the child can read letters
- DCover the right eye with a patch at home without review
7.Hard
A child is recovering from Kawasaki disease at home. Which finding is expected in the recovery phase?
- ASudden chest pain during play
- BA new high fever lasting several days
- CA new purple rash on the legs
- DPeeling skin on the fingers and toes
8.Hard
A 3-year-old was pulled from a pool after a brief submersion. She is now awake and coughs now and then. What should the nurse advise?
- AOnly seek care if she develops a fever in the next week
- BGive her a warm drink and put her to bed for a long sleep
- CObserve her in hospital for several hours, as breathing problems can develop later
- DTake her straight home, because she is awake, talking and only coughing now and then
Answer key
- 1. A · The right main bronchus
- 2. B · A low platelet count with bruising and petechiae
- 3. A · Wipe from front to back after using the toilet
- 4. A · On the side, curled up with knees drawn up and head bent forward
- 5. C · Small pieces of soft cooked vegetables
- 6. A · Refer the baby to an eye specialist
- 7. D · Peeling skin on the fingers and toes
- 8. C · Observe her in hospital for several hours, as breathing problems can develop later
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