1.Easy
What is kangaroo care?
- AWrapping the baby tightly in a blanket for sleep
- BSkin-to-skin contact between a parent and a baby, often a preterm baby
- CCarrying the baby in a front sling or carrier while doing the housework each day
- DA special incubator that copies the mother's heartbeat
2.Easy
What is the main long-term complication of regular blood transfusions in beta-thalassaemia major?
- ALow blood calcium
- BIron overload
- CLow platelet count
- DVitamin B12 deficiency
3.Easy
Which symptom is typical of scabies?
- ALarge blisters on the soles of the feet after walking
- BPainless red patches that slowly spread outward over months
- CDry, flaky scalp with dandruff but no itching
- DIntense itching, worse at night, with burrows between the fingers
4.Medium
Why is hearing screening done in the newborn period?
- ATo check whether the baby will need glasses later in childhood
- BBecause hearing loss always causes balance problems
- CEarly detection allows support that protects language development
- DTo diagnose ear infections before discharge
5.Medium
What should the nurse do before giving a dose of digoxin to an infant?
- AMeasure the temperature and give the dose only if there is no fever
- BCount the radial pulse for 15 seconds and multiply by four
- CMeasure the blood pressure and give the dose only if it is above the normal range
- DCount the apical pulse for a full minute and check it against the prescribed limits
6.Medium
Which child should generally not receive a live vaccine such as MMR?
- AA child who is currently taking oral antibiotics for an uncomplicated ear infection
- BA child with a mild cold
- CA child whose sibling has a cold
- DA child with severe immune suppression, for example during chemotherapy
7.Hard
Several family members, including the children, have had headaches, nausea and drowsiness all winter. They feel better when away from home. What should the nurse suspect?
- ACarbon monoxide poisoning
- BSeasonal influenza
- CFood poisoning
- DMigraine that runs in the family
8.Hard
Which practice most reduces the risk of errors with high-alert medicines such as insulin or opioid infusions in children?
- ARounding doses up to the nearest whole number to keep things simple
- BAsking the child's parent to look at the syringe and confirm that the dose looks right
- CChecking the dose only when the drug is given for the first time
- DAn independent double check by a second nurse before giving the medicine
Answer key
- 1. B · Skin-to-skin contact between a parent and a baby, often a preterm baby
- 2. B · Iron overload
- 3. D · Intense itching, worse at night, with burrows between the fingers
- 4. C · Early detection allows support that protects language development
- 5. D · Count the apical pulse for a full minute and check it against the prescribed limits
- 6. D · A child with severe immune suppression, for example during chemotherapy
- 7. A · Carbon monoxide poisoning
- 8. D · An independent double check by a second nurse before giving the medicine
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