1.Easy
How deep should chest compressions be during CPR on a child?
- AAbout one tenth of the depth of the chest
- BAs deep as possible, until the ribs can be felt to give
- CJust enough to see the chest move slightly
- DAt least one third of the depth of the chest
2.Easy
Why is circumcision avoided in a baby boy with hypospadias?
- AThe urethral opening moves to the tip by itself if the foreskin is left
- BBabies with hypospadias usually have a bleeding disorder
- CThe foreskin may be needed for the repair
- DIt greatly increases the risk of urine infection in the first month
3.Easy
Where should eye drops be placed for a child?
- AInto the inner corner of the eye
- BDirectly onto the centre of the cornea
- COnto the upper eyelid while the eye is shut
- DInto the pocket of the lower eyelid
4.Medium
A child with ITP has a low platelet count. Which advice is correct?
- AAvoid contact sports and medicines such as ibuprofen and aspirin
- BTake aspirin for any pain to thin the blood
- CUse a hard toothbrush and floss firmly to keep the gums healthy
- DPlay rugby and football as normal to stay active
5.Medium
Which measure is most important in preventing infection in a child with neutropenia?
- AGiving routine antibiotics to all family members
- BWearing a mask only when the child has a fever
- CKeeping all visitors, including the parents, out of the child's room
- DCareful hand hygiene by everyone in contact with the child
6.Medium
Which factor can make a pulse oximeter reading inaccurate in a child?
- AHolding a parent's hand during the reading
- BHaving eaten a meal in the last hour
- CCold hands, movement or a poorly fitting probe
- DLying on the back instead of sitting up
7.Hard
Which phone call should the nurse return first?
- AA parent of a 7-year-old with a faint rash 3 days into antibiotics, breathing normally
- BA parent asking when the next routine vaccines are due
- CA parent of a 5-month-old who has had no wet nappy for 12 hours and is very sleepy
- DA parent of a 3-year-old with a runny nose and a mild cough for 2 days
8.Hard
Newborn pulse oximetry screening shows 97% in the right hand and 91% in the foot. What does this mean?
- AAn abnormal screen that must be followed up promptly under the screening protocol
- BA normal result, because foot readings are always lower
- CA faulty probe or a cold foot; repeat the whole test at the 6-week check
- DNormal transition; no further checks are needed
Answer key
- 1. D · At least one third of the depth of the chest
- 2. C · The foreskin may be needed for the repair
- 3. D · Into the pocket of the lower eyelid
- 4. A · Avoid contact sports and medicines such as ibuprofen and aspirin
- 5. D · Careful hand hygiene by everyone in contact with the child
- 6. C · Cold hands, movement or a poorly fitting probe
- 7. C · A parent of a 5-month-old who has had no wet nappy for 12 hours and is very sleepy
- 8. A · An abnormal screen that must be followed up promptly under the screening protocol
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