1.Easy
Which hygiene advice helps prevent urinary tract infections in girls?
- AWipe from front to back after using the toilet
- BTake a long bubble bath every evening before bed
- CHold urine in for as long as possible
- DWear tight nylon underwear and leggings
2.Easy
When should a child with cystic fibrosis take pancreatic enzyme capsules?
- AOn an empty stomach in the morning only
- BOnce a day at bedtime
- COnly when stools are loose
- DWith every meal and snack
3.Easy
Which finding is typical of impetigo?
- ASilvery scales on the elbows and knees
- BHoney-coloured crusts, often around the nose and mouth
- CA target-shaped rash with a dusky, pale centre on the palms
- DTiny burrows between the fingers
4.Medium
Which source is a common cause of lead poisoning in young children?
- AOld flaking paint and dust in older housing
- BBreast milk from a healthy, well-nourished mother
- CFresh fruit
- DPlastic toys made last year
5.Medium
Why is the Lund and Browder chart preferred over the adult "rule of nines" for estimating burn size in children?
- AIt is mainly used for small burns of the hands, feet and face in children
- BIt adjusts for the larger head and smaller legs of young children
- CIt counts the number of blisters on the body
- DIt measures the depth of the burn rather than its area
6.Medium
After an injection, a 4-year-old insists on having a plaster over the site. What explains this?
- APreschoolers understand anatomy well and want to keep the site clean
- BThe child is being difficult and should be ignored
- CThe child is allergic to the injection
- DPreschoolers fear bodily injury and may think their insides can leak out
7.Hard
Which bedside check is recommended before each feed to confirm the position of a child's nasogastric tube?
- APlace the end of the tube in water and look for bubbles
- BInject air and listen over the stomach for a "whoosh"
- CCheck that aspirate from the tube is acidic, using the pH limit in local policy
- DAsk the child whether the tube feels comfortable and check the length mark only
8.Hard
A 10-year-old with cystic fibrosis is going to play football on a hot day. What should the nurse teach?
- AAvoid all exercise, because it damages the lungs
- BSkip the pancreatic enzymes on sports days to avoid stomach cramps
- CDrink more and add extra salt, because more salt is lost in sweat
- DRestrict fluids to prevent extra mucus
Answer key
- 1. A · Wipe from front to back after using the toilet
- 2. D · With every meal and snack
- 3. B · Honey-coloured crusts, often around the nose and mouth
- 4. A · Old flaking paint and dust in older housing
- 5. B · It adjusts for the larger head and smaller legs of young children
- 6. D · Preschoolers fear bodily injury and may think their insides can leak out
- 7. C · Check that aspirate from the tube is acidic, using the pH limit in local policy
- 8. C · Drink more and add extra salt, because more salt is lost in sweat
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