1.Easy
According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?
- ATrust versus mistrust
- BIntimacy versus isolation
- CIndustry versus inferiority
- DInitiative versus guilt
2.Easy
Which type of play is typical of toddlers?
- AParallel play: playing next to other children but not with them
- BCooperative play: playing together with shared rules and set roles
- CCompetitive team games
- DSolitary board games with rules
3.Easy
Which sweetener must children with phenylketonuria (PKU) avoid?
- AAspartame
- BSucrose
- CFructose
- DGlucose
4.Medium
In a large ventricular septal defect, in which direction does blood mainly flow through the defect?
- AFrom the aorta into the pulmonary veins
- BFrom left to right, increasing blood flow to the lungs
- CFrom right to left, causing cyanosis from birth
- DThere is no flow at all, because the pressures in both ventricles are always equal
5.Medium
After cleft lip repair, which nursing action protects the suture line?
- ALet the baby suck on a dummy straight away
- BPlace the baby on the stomach to sleep
- CPosition the baby on the back or side and avoid putting objects in the mouth
- DClean the suture line with a dry, rough cloth to remove crusts several times a day
6.Medium
How are feeds usually restarted after a pyloromyotomy for pyloric stenosis?
- AWith large, full-volume feeds straight away to make up for the weight lost
- BWithin hours, increasing gradually as per protocol; some vomiting can be expected
- COnly by nasogastric tube for the first month at home
- DNot until 10 days after surgery, when the wound has healed
7.Hard
Two healthcare rescuers are giving CPR to an infant. Which compression technique is recommended?
- AThe two-thumb technique with the hands encircling the chest
- BBoth hands placed one on top of the other over the upper abdomen
- CBoth hands interlocked over the centre of the chest, with arms straight
- DCompressions with one finger over the upper sternum
8.Hard
Which newborn should the nurse assess first?
- AA 1-day-old with tiny white spots (milia) on the nose
- BA 3-day-old with mild facial jaundice who is feeding well
- CA 2-hour-old with grunting, nasal flaring and a respiratory rate of 74/min
- DA 1-day-old with bluish hands and feet but pink lips and trunk
Answer key
- 1. D · Initiative versus guilt
- 2. A · Parallel play: playing next to other children but not with them
- 3. A · Aspartame
- 4. B · From left to right, increasing blood flow to the lungs
- 5. C · Position the baby on the back or side and avoid putting objects in the mouth
- 6. B · Within hours, increasing gradually as per protocol; some vomiting can be expected
- 7. A · The two-thumb technique with the hands encircling the chest
- 8. C · A 2-hour-old with grunting, nasal flaring and a respiratory rate of 74/min
Full step-by-step solutions: practise this topic on examproblems.com.