1.Easy
What is the most common cause of bronchiolitis in infants?
- AGroup A streptococcus
- BRespiratory syncytial virus (RSV)
- CHaemophilus influenzae type b
- DStaphylococcus aureus
2.Easy
Which of these is one of the most common causes of food allergy in infants?
- ARice
- BCow's milk protein
- CApple purée
- DCarrot
3.Easy
In the UK, which method does NICE recommend for measuring the temperature of a baby under 4 weeks old?
- ABy touching the forehead with a hand
- BRectal, with a glass mercury thermometer
- CAxillary, with an electronic thermometer
- DOral, under the tongue
4.Medium
A toddler refuses a liquid medicine. Which approach is appropriate?
- AMix it into a full bottle of milk or juice for the whole day
- BMix it with a small spoonful of food, if the pharmacist says this is safe
- CHold the child's nose firmly until he has to open his mouth to breathe
- DTell the child it is a sweet so that he takes it happily
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
- BOnly after the child has already vomited at least twice
- COnly if the child asks for it
- DBefore the chemotherapy starts and then regularly
6.Medium
Why are elbow splints often used after cleft lip repair?
- ATo make the baby sleep for longer
- BTo keep the baby's arms warm and still after surgery and anaesthesia
- CTo keep the IV cannula from being needed
- DTo stop the baby touching or rubbing the suture line
7.Hard
A 4-year-old chokes on a sweet but is coughing forcefully and can speak. What should the nurse do?
- ADo a finger sweep of the mouth to find the sweet
- BEncourage her to keep coughing and stay with her, watching closely
- CGive her a large drink of water to try to wash the sweet down
- DGive back blows straight away to dislodge the sweet
8.Hard
A healthy 12-month-old has a mild fever and fussiness the evening after receiving vaccines. The parent asks if future vaccines should be stopped. What is the correct answer?
- AThe child should take antibiotics before every future vaccine to stop the fever and fussiness from happening again
- BYes; the child should never receive vaccines again
- CYes; any reaction means the child is allergic
- DNo; mild fever and fussiness are common, expected reactions and are not a reason to stop vaccination
Answer key
- 1. B · Respiratory syncytial virus (RSV)
- 2. B · Cow's milk protein
- 3. C · Axillary, with an electronic thermometer
- 4. B · Mix it with a small spoonful of food, if the pharmacist says this is safe
- 5. D · Before the chemotherapy starts and then regularly
- 6. D · To stop the baby touching or rubbing the suture line
- 7. B · Encourage her to keep coughing and stay with her, watching closely
- 8. D · No; mild fever and fussiness are common, expected reactions and are not a reason to stop vaccination
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