1.Easy
Into which airway does an inhaled foreign body most often go?
- ABoth main bronchi equally often
- BThe left main bronchus
- CThe left upper lobe bronchus
- DThe right main bronchus
2.Easy
Which heart rate range is typical for a healthy newborn at rest?
- AAbout 110 to 160 beats per minute
- BAbout 200 to 260 beats per minute
- CAbout 60 to 100 beats per minute
- DAbout 70 to 110 beats per minute
3.Easy
Which clotting factor is missing or low in haemophilia A?
- AFactor XIII
- BFactor VII
- CFactor IX
- DFactor VIII
4.Medium
Which signs suggest meningitis in a young infant?
- ANeck stiffness and a positive Kernig's sign, as in older children and adults
- BA sunken fontanelle with heavy wet nappies
- CA clear runny nose, a mild cough and normal feeding
- DA bulging fontanelle, a high-pitched cry, poor feeding and irritability
5.Medium
Which temperature is usually taken as fever in a child?
- A39.5 °C (103.1 °F) or higher
- B37.5 °C (99.5 °F) or higher
- C37.0 °C (98.6 °F) or higher
- D38.0 °C (100.4 °F) or higher
6.Medium
A child with suspected measles is admitted. Which precaution is most important?
- ANo special precautions once the rash appears
- BDroplet precautions in a shared bay
- CAirborne precautions, ideally in a negative-pressure room
- DContact precautions only, with gloves
7.Hard
Which long-term problems should be monitored in a child with a repaired cleft palate?
- AMiddle ear infections, hearing, speech and teeth
- BGrowth hormone levels and puberty timing
- CKidney function and blood pressure
- DBone density and fracture risk in the teenage years
8.Hard
A child with sickle cell disease has new chest pain, cough, fever and an oxygen saturation of 90%. What should the nurse suspect?
- AAnxiety about being in hospital
- BA mild cold
- CAcute chest syndrome, an emergency
- DNormal pain from a limb crisis
Answer key
- 1. D · The right main bronchus
- 2. A · About 110 to 160 beats per minute
- 3. D · Factor VIII
- 4. D · A bulging fontanelle, a high-pitched cry, poor feeding and irritability
- 5. D · 38.0 °C (100.4 °F) or higher
- 6. C · Airborne precautions, ideally in a negative-pressure room
- 7. A · Middle ear infections, hearing, speech and teeth
- 8. C · Acute chest syndrome, an emergency
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