1.Easy
At about what age does stranger anxiety usually begin in infants?
- AAbout 2 to 3 years
- BAbout 4 to 5 years
- CAbout 1 to 2 months
- DAbout 6 to 8 months
2.Easy
The parents of a 3-month-old ask about a soft umbilical hernia that bulges when she cries. What is the correct information?
- AIt needs emergency surgery within a few days
- BStrapping it tightly with a binder every day makes it close faster
- CIt is caused by the cord being cut too short
- DMost close on their own; do not tape a coin over it
3.Easy
A child due for vaccines has a mild cold and a temperature of 37.8 °C. What is the general principle?
- AThe child should receive only half the dose
- BVaccines must be postponed for 4 weeks until the child is well
- CThe child must take antibiotics first
- DA mild illness is not a reason to delay vaccination
4.Medium
Which temperature is usually taken as fever in a child?
- A37.5 °C (99.5 °F) or higher
- B38.0 °C (100.4 °F) or higher
- C37.0 °C (98.6 °F) or higher
- D39.5 °C (103.1 °F) or higher
5.Medium
In a child with hypovolaemic shock, which finding is usually a late sign?
- ATachycardia
- BCool extremities
- CLow blood pressure
- DProlonged capillary refill
6.Medium
How should the nurse position the ear when giving ear drops to a 2-year-old?
- APull the pinna gently down and back
- BLeave the pinna alone and tilt the head
- CPull the earlobe gently forward and up
- DPull the pinna gently up and back
7.Hard
A 9-month-old with suspected intussusception has been crying in episodes. While waiting for a procedure, the baby passes a normal brown stool and the pain stops. What should the nurse do?
- AFeed the baby a large meal straight away
- BReport it at once, because it may mean the intussusception has reduced
- CGive an enema to clear the bowel
- DIgnore it, because a normal stool has no clinical meaning in intussusception
8.Hard
A child recovering from acute rheumatic fever with heart involvement asks why she needs regular penicillin for years. What is the best answer?
- ATo reduce the joint pain that continues after the illness
- BTo cure the heart valve damage that has already occurred and let the valves heal completely
- CTo prevent common viral colds during the school year
- DTo prevent new strep infections that could cause further attacks and more valve damage
Answer key
- 1. D · About 6 to 8 months
- 2. D · Most close on their own; do not tape a coin over it
- 3. D · A mild illness is not a reason to delay vaccination
- 4. B · 38.0 °C (100.4 °F) or higher
- 5. C · Low blood pressure
- 6. A · Pull the pinna gently down and back
- 7. B · Report it at once, because it may mean the intussusception has reduced
- 8. D · To prevent new strep infections that could cause further attacks and more valve damage
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