1.Easy
How deep should chest compressions be during CPR on a child?
- AAbout one tenth of the depth of the chest
- BAt least one third of the depth of the chest
- CJust enough to see the chest move slightly
- DAs deep as possible, until the ribs can be felt to give
2.Easy
How is congenital hypothyroidism treated?
- AAn iodine-free diet from birth
- BDaily levothyroxine, usually for life
- CRemoval of the thyroid gland in infancy
- DA single dose of radioactive iodine
3.Easy
In the UK, which method does NICE recommend for measuring the temperature of a baby under 4 weeks old?
- AAxillary, with an electronic thermometer
- BRectal, with a glass mercury thermometer
- COral, under the tongue
- DBy touching the forehead with a hand
4.Medium
A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?
- AViral croup
- BAn inhaled foreign body
- CBronchiolitis
- DA first attack of asthma
5.Medium
How can the nurse best support a child with autism on a children's ward?
- APlace the child in the busiest bay near the nurses' station
- BExplain all procedures only at the very last minute to avoid days of worry
- CChange the nurse each shift so the child meets more people
- DKeep routines predictable, reduce noise and use visual schedules
6.Medium
Which is a true contraindication to a further dose of the same vaccine?
- AA low-grade fever after a previous dose
- BA family history of allergies
- CAnaphylaxis after a previous dose of that vaccine
- DRedness and soreness at the injection site after a previous dose
7.Hard
A child with eczema suddenly develops clusters of painful, punched-out blisters and erosions with a fever. What should the nurse suspect?
- AA normal eczema flare that needs more emollient
- BAn allergic reaction to the emollient
- CEczema herpeticum, which needs urgent antiviral treatment
- DChickenpox, which is mild and needs no specific treatment
8.Hard
A 3-month-old is gaining weight poorly. The mother says she adds extra water to the formula to make each tin last longer. Besides poor growth, what serious complication is the nurse concerned about?
- AHigh blood glucose from the sugar in the diluted formula, causing diabetes
- BVitamin K deficiency bleeding from the extra water
- CHigh sodium from too much powder, which causes dehydration
- DLow sodium from water intoxication, which can cause seizures
Answer key
- 1. B · At least one third of the depth of the chest
- 2. B · Daily levothyroxine, usually for life
- 3. A · Axillary, with an electronic thermometer
- 4. B · An inhaled foreign body
- 5. D · Keep routines predictable, reduce noise and use visual schedules
- 6. C · Anaphylaxis after a previous dose of that vaccine
- 7. C · Eczema herpeticum, which needs urgent antiviral treatment
- 8. D · Low sodium from water intoxication, which can cause seizures
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