1.Easy
The Wong–Baker FACES scale is best suited for:
- AUnconscious children on a ventilator who cannot respond verbally
- BPreterm newborns
- CChildren of about 3 years and older who can point to a face
- DBabies under 6 months
2.Easy
According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?
- ATrust versus mistrust
- BInitiative versus guilt
- CIntimacy versus isolation
- DIndustry versus inferiority
3.Easy
Why must a toddler never be left alone in the bath, even for a moment?
- AA young child can drown silently in a few centimetres of water
- BThe bath water cools quickly and causes hypothermia
- CSoap left on the skin irritates a toddler's skin
- DA toddler left alone gets bored, cries and tries to climb out of the bath
4.Medium
Why should a child with rubella avoid contact with pregnant women?
- AThe child may catch a pregnancy-related infection
- BRubella in early pregnancy can cause serious birth defects
- CPregnant women always develop severe pneumonia if they catch rubella
- DRubella causes pregnant women to go into labour early
5.Medium
Which snack is safest for a 2-year-old?
- AA handful of whole peanuts
- BSmall pieces of soft cooked vegetables
- CA small bowl of popcorn
- DWhole grapes from the fruit bowl
6.Medium
Which diet is usually recommended for a child with cystic fibrosis?
- AA low-protein diet to reduce the work of the pancreas
- BA high-energy, high-fat diet with fat-soluble vitamin supplements
- CA low-fat diet to reduce greasy stools and abdominal pain
- DA low-salt diet to protect the heart and kidneys from damage later in life
7.Hard
After hypospadias repair, a toddler has a urinary catheter. Which nursing action has priority?
- ARemove the dressing on the first day to check the wound
- BKeep the catheter draining freely and check for kinks or blockage
- CLimit fluids for the first days so that less urine passes over the repair
- DClamp the catheter for a few hours to train the bladder
8.Hard
A 9-year-old is being treated for an acute asthma attack. Which finding shows that treatment is working?
- AThe child is now sitting bolt upright, leaning on the arms
- BSlower breathing, easier speech and less use of the neck and chest muscles
- CThe wheeze has disappeared and the child is now very drowsy
- DThe heart rate has risen further after each dose of salbutamol
Answer key
- 1. C · Children of about 3 years and older who can point to a face
- 2. B · Initiative versus guilt
- 3. A · A young child can drown silently in a few centimetres of water
- 4. B · Rubella in early pregnancy can cause serious birth defects
- 5. B · Small pieces of soft cooked vegetables
- 6. B · A high-energy, high-fat diet with fat-soluble vitamin supplements
- 7. B · Keep the catheter draining freely and check for kinks or blockage
- 8. B · Slower breathing, easier speech and less use of the neck and chest muscles
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