1.Easy
What is the first-line treatment for anaphylaxis in a child?
- AAn oral antihistamine
- BAn inhaled corticosteroid via a spacer
- COral paracetamol (acetaminophen)
- DIM adrenaline (epinephrine)
2.Easy
Bedwetting at night is usually not considered a problem needing treatment until about what age?
- AAbout 5 years
- BAbout 14 years
- CAbout 10 years
- DAbout 2 years
3.Easy
Febrile seizures most often occur in which age group?
- AIn adolescence
- BBetween 8 and 12 years
- CIn the first week of life
- DBetween about 6 months and 5 years
4.Medium
A school-age child with asthma uses an inhaled corticosteroid every day. What should the nurse teach?
- ASwallow the powder with water
- BStop it as soon as symptoms improve
- CRinse the mouth after each dose and use a spacer
- DUse it only during an asthma attack
5.Medium
Which instruction about giving oral liquid iron to a child is correct?
- AGive it with a syringe or straw towards the back of the mouth; dark stools are expected
- BGive it together with an antacid to protect the stomach
- CStop the iron straight away if the stools turn dark green or black, as this means bleeding
- DGive it mixed in a full bottle of milk to reduce stomach upset
6.Medium
A child has impetigo. Which advice helps to stop it spreading?
- AShare flannels and towels so the whole family is treated
- BPick the crusts off daily so the skin heals faster
- CUse separate towels, wash hands often and keep nails short
- DCover the crusts with a thick layer of petroleum jelly and leave them
7.Hard
The nurse has taught the parents of a newborn about safe sleep. Which statement shows a need for further teaching?
- A"We will keep her cot in our bedroom for the first months."
- B"We will put a soft bumper and a pillow in the cot so she is comfortable."
- C"We will put her on her back for every sleep, including naps."
- D"Nobody will smoke in the house or in the car."
8.Hard
A large baby born to a mother with diabetes becomes jittery at 1 hour of age. What should the nurse check first?
- AThe baby's blood glucose
- BThe baby's serum bilirubin
- CThe baby's haemoglobin
- DThe baby's blood group
Answer key
- 1. D · IM adrenaline (epinephrine)
- 2. A · About 5 years
- 3. D · Between about 6 months and 5 years
- 4. C · Rinse the mouth after each dose and use a spacer
- 5. A · Give it with a syringe or straw towards the back of the mouth; dark stools are expected
- 6. C · Use separate towels, wash hands often and keep nails short
- 7. B · "We will put a soft bumper and a pillow in the cot so she is comfortable."
- 8. A · The baby's blood glucose
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