1.Easy
How should an infant with gastro-oesophageal reflux be placed to sleep?
- AOn the back, as for all babies
- BOn the tummy to reduce reflux
- COn the left side, wedged with pillows
- DSitting up in a car seat all night
2.Easy
How is congenital hypothyroidism treated?
- AA single dose of radioactive iodine
- BDaily levothyroxine, usually for life
- CAn iodine-free diet from birth
- DRemoval of the thyroid gland in infancy
3.Easy
Febrile seizures most often occur in which age group?
- AIn adolescence
- BIn the first week of life
- CBetween about 6 months and 5 years
- DBetween 8 and 12 years
4.Medium
Which instruction about a child's new plaster cast is correct?
- ALet the child walk on a leg cast as soon as it is applied
- BKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
- CPush a knitting needle inside the cast to scratch an itch
- DKeep the limb raised and report increasing pain, numbness or pale or blue fingers
5.Medium
A child's asthma action plan shows he is in the yellow zone. What should he do?
- AGo straight to the emergency department without using any medicine first
- BDouble the preventer dose and do nothing else
- CStop all medicines and wait to see if the symptoms pass
- DUse the reliever as the plan says and contact the doctor if it does not help
6.Medium
A child is in skin traction for a leg fracture. Which nursing action is correct?
- AKeep the weights hanging freely, clear of the bed and floor
- BRemove the traction tapes every hour to check the skin
- CLift the weights off when the child is uncomfortable
- DLet the weights rest on the floor while the child sleeps, so the pull is gentler
7.Hard
Only one negative-pressure room is available. Which child should be placed in it?
- AA child with RSV bronchiolitis
- BA child with norovirus gastroenteritis and vomiting
- CA child with suspected measles
- DA child with impetigo
8.Hard
Which finding in a 3-month-old with bronchiolitis requires immediate follow-up?
- AA runny nose and mild cough
- BWheeze heard on auscultation
- CPauses in breathing (apnoea) and an oxygen saturation of 88%
- DFeeding slightly less than usual but still with wet nappies
Answer key
- 1. A · On the back, as for all babies
- 2. B · Daily levothyroxine, usually for life
- 3. C · Between about 6 months and 5 years
- 4. D · Keep the limb raised and report increasing pain, numbness or pale or blue fingers
- 5. D · Use the reliever as the plan says and contact the doctor if it does not help
- 6. A · Keep the weights hanging freely, clear of the bed and floor
- 7. C · A child with suspected measles
- 8. C · Pauses in breathing (apnoea) and an oxygen saturation of 88%
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