1.Easy
Which site is usually recommended for intramuscular vaccines in infants?
- AThe dorsogluteal muscle of the buttock
- BThe deltoid muscle in all ages
- CThe vastus lateralis muscle of the anterolateral thigh
- DThe muscles of the forearm
2.Easy
Which vaccine has made acute epiglottitis much less common in children?
- ARotavirus vaccine given by mouth
- BMeasles–mumps–rubella (MMR) vaccine
- CHaemophilus influenzae type b (Hib) vaccine
- DPneumococcal conjugate vaccine
3.Easy
Egocentrism and magical thinking are typical of which of Piaget's stages?
- AFormal operational stage (about 11 years onwards)
- BSensorimotor stage (birth to about 2 years)
- CConcrete operational stage (about 7 to 11 years)
- DPreoperational stage (about 2 to 7 years)
4.Medium
Which precaution applies to a child with haemophilia?
- AAvoid intramuscular injections and rectal temperatures where possible
- BEncourage contact sports such as rugby to strengthen the joints and muscles
- CApply heat to a bleeding joint
- DGive aspirin for pain
5.Medium
An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?
- APlatelet count
- BSerum potassium
- CSerum bilirubin
- DSerum amylase and lipase
6.Medium
Which finding in a newborn suggests Hirschsprung disease?
- AProjectile vomiting at 4 weeks
- BA barking cough
- CBright yellow, loose stools
- DFailure to pass meconium within 48 hours of birth
7.Hard
A child with a new forearm cast has severe pain not relieved by analgesia and screams when the nurse gently moves the fingers. What should the nurse suspect?
- AItching under the cast; give an antihistamine
- BCompartment syndrome; report it at once
- CAnxiety; distract the child with play
- DNormal pain after a fracture; give more time
8.Hard
A 2-year-old is having a tonic–clonic seizure with a high fever. What should the nurse do first?
- AProtect the child from injury, time the seizure and turn the child onto the side
- BPut a spoon in the child's mouth to protect the tongue
- CHold the child's limbs firmly to stop the movements and prevent injury from the jerking
- DPut the child in a cool bath
Answer key
- 1. C · The vastus lateralis muscle of the anterolateral thigh
- 2. C · Haemophilus influenzae type b (Hib) vaccine
- 3. D · Preoperational stage (about 2 to 7 years)
- 4. A · Avoid intramuscular injections and rectal temperatures where possible
- 5. B · Serum potassium
- 6. D · Failure to pass meconium within 48 hours of birth
- 7. B · Compartment syndrome; report it at once
- 8. A · Protect the child from injury, time the seizure and turn the child onto the side
Full step-by-step solutions: practise this topic on examproblems.com.