1.Easy
Into which airway does an inhaled foreign body most often go?
- AThe left upper lobe bronchus
- BThe left main bronchus
- CThe right main bronchus
- DBoth main bronchi equally often
2.Easy
Which congenital heart defect causes cyanosis?
- ASmall ventricular septal defect with a left-to-right shunt
- BPatent ductus arteriosus
- CAtrial septal defect
- DTransposition of the great arteries
3.Easy
Which side effects are common after a dose of salbutamol?
- ATremor and a fast heart rate
- BOral thrush and a hoarse voice
- CDrowsiness and slow breathing
- DWeight gain and high blood sugar
4.Medium
A school-age child with asthma uses an inhaled corticosteroid every day. What should the nurse teach?
- AUse it only during an asthma attack
- BSwallow the powder with water
- CStop it as soon as symptoms improve
- DRinse the mouth after each dose and use a spacer
5.Medium
A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?
- AA hard toothbrush and lemon–glycerine swabs to clean the ulcers
- BA soft toothbrush or sponge, bland rinses and soft, cool foods
- CSpicy and acidic foods to stimulate saliva flow
- DMouthwash containing alcohol several times a day
6.Medium
Which signs suggest a child is ready to start toilet training?
- ASaying the first word
- BBeing able to walk
- CReaching the first birthday and being able to walk, whether or not the child shows any interest
- DStaying dry for about 2 hours, showing interest and being able to follow simple instructions
7.Hard
The mother of a 5-day-old breastfed baby asks how she can tell her baby is getting enough milk. Which answer is best?
- AThe baby should feed for exactly 10 minutes on each side at every feed, day and night
- BThe baby should sleep through the night without waking for feeds
- CHer breasts should always feel full and hard between feeds
- DAbout 6 or more wet nappies a day, regular yellow stools and steady weight gain
8.Hard
A 2-month-old is brought in with bruises on both cheeks. The parent says the baby "bumps into things". What should the nurse do?
- AAccept the explanation because babies often bump into things
- BTell the parent that a report will be made, then let them take the baby home before it is reviewed
- CAccuse the parent of abuse in front of other families
- DDocument the findings objectively and follow the safeguarding procedure to report the concern
Answer key
- 1. C · The right main bronchus
- 2. D · Transposition of the great arteries
- 3. A · Tremor and a fast heart rate
- 4. D · Rinse the mouth after each dose and use a spacer
- 5. B · A soft toothbrush or sponge, bland rinses and soft, cool foods
- 6. D · Staying dry for about 2 hours, showing interest and being able to follow simple instructions
- 7. D · About 6 or more wet nappies a day, regular yellow stools and steady weight gain
- 8. D · Document the findings objectively and follow the safeguarding procedure to report the concern
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