1.Easy
What is the most common cause of bronchiolitis in infants?
- ARespiratory syncytial virus (RSV)
- BHaemophilus influenzae type b
- CGroup A streptococcus
- DStaphylococcus aureus
2.Easy
At about what age does a baby's first tooth usually appear?
- AAround 18 months
- BAround 3 years
- CAt birth in most babies
- DAround 6 months
3.Easy
According to Erikson, what is the developmental task of infancy (birth to about 1 year)?
- ATrust versus mistrust
- BIntimacy versus isolation
- CIdentity versus role confusion
- DAutonomy versus shame and doubt
4.Medium
How is a child usually positioned for a lumbar puncture?
- AProne with a pillow under the chest
- BStanding and leaning against the wall
- CFlat on the back with the legs straight and a small pillow under the head
- DOn the side, curled up with knees drawn up and head bent forward
5.Medium
How should anti-sickness medicine be given to a child receiving chemotherapy that often causes vomiting?
- AOnly at night, when the child is asleep
- BBefore the chemotherapy starts and then regularly
- COnly after the child has already vomited at least twice
- DOnly if the child asks for it
6.Medium
A 6-year-old with a life-limiting illness asks the nurse, "Am I going to die?" What is the best response?
- AFind out what prompted the question, then answer honestly and simply, with the family
- BChange the subject quickly so the child is not upset
- CTell the child firmly that this will not happen
- DTell the child that only the doctor is allowed to talk about this subject with children
7.Hard
An 18-month-old with gastroenteritis has a heart rate of 170/min, a capillary refill time of 4 seconds and cool hands and feet. Her blood pressure is normal. What does this indicate?
- ANormal findings in a toddler who is upset
- BShock is unlikely while the blood pressure is normal
- CCompensated shock that needs urgent treatment
- DMild dehydration that only needs a drink
8.Hard
A child with cystic fibrosis has bulky, greasy, foul-smelling stools and is not gaining weight despite a good appetite. What does this most likely indicate?
- AThe child is eating too much fat, so all fat should be removed from the diet
- BA normal finding that needs no action
- CA sign that the lungs are improving
- DPoor fat absorption; the pancreatic enzyme dose or timing needs review
Answer key
- 1. A · Respiratory syncytial virus (RSV)
- 2. D · Around 6 months
- 3. A · Trust versus mistrust
- 4. D · On the side, curled up with knees drawn up and head bent forward
- 5. B · Before the chemotherapy starts and then regularly
- 6. A · Find out what prompted the question, then answer honestly and simply, with the family
- 7. C · Compensated shock that needs urgent treatment
- 8. D · Poor fat absorption; the pancreatic enzyme dose or timing needs review
Full step-by-step solutions: practise this topic on examproblems.com.