1.Easy
What is the main feature of mumps?
- AA spreading rash that starts behind the ears
- BPainful ulcers on the hands, feet and mouth
- CSwelling of the parotid salivary glands
- DA high-pitched whoop after coughing fits
2.Easy
What causes respiratory distress syndrome in preterm babies?
- AA lack of surfactant in the immature lungs
- BAn allergy to the oxygen used in the incubator
- CInhaling meconium-stained fluid during birth
- DA viral infection caught from the mother
3.Easy
Which health problem is common in babies with Down syndrome and is looked for soon after birth?
- ACleft lip and palate
- BCongenital heart defects
- CCataract only in old age
- DClubfoot on both sides
4.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
- BCover the right eye with a patch at home without review
- CReassure the parents that this always resolves by school age
- DAdvise them to wait until the child can read letters
5.Medium
Which measure is most important in preventing infection in a child with neutropenia?
- ACareful hand hygiene by everyone in contact with the child
- BKeeping all visitors, including the parents, out of the child's room
- CWearing a mask only when the child has a fever
- DGiving routine antibiotics to all family members
6.Medium
A child with respiratory distress becomes bradycardic. What does this mean?
- AA sign of severe hypoxia and possible imminent cardiac arrest
- BA normal response to sleep
- CA side effect of the oxygen therapy
- DThe child is recovering and calming down
7.Hard
Which long-term problems should be monitored in a child with a repaired cleft palate?
- AMiddle ear infections, hearing, speech and teeth
- BGrowth hormone levels and puberty timing
- CBone density and fracture risk in the teenage years
- DKidney function and blood pressure
8.Hard
A toddler swallowed a button battery 30 minutes ago and seems well. What is the correct action?
- AWait for the battery to pass naturally and check the nappies for several days
- BMake the toddler vomit
- CGive a glass of milk and observe at home
- DArrange immediate transfer to emergency care for imaging and removal
Answer key
- 1. C · Swelling of the parotid salivary glands
- 2. A · A lack of surfactant in the immature lungs
- 3. B · Congenital heart defects
- 4. A · Refer the baby to an eye specialist
- 5. A · Careful hand hygiene by everyone in contact with the child
- 6. A · A sign of severe hypoxia and possible imminent cardiac arrest
- 7. A · Middle ear infections, hearing, speech and teeth
- 8. D · Arrange immediate transfer to emergency care for imaging and removal
Full step-by-step solutions: practise this topic on examproblems.com.