1.Easy
The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?
- AIt shows the baby is in pain
- BIt is a normal finding at this age
- CIt shows brain damage and needs a scan
- DIt is a sign of spinal cord compression
2.Easy
Where should a healthcare provider check for a pulse in an unresponsive infant?
- AThe brachial artery
- BThe temporal artery
- CThe carotid artery
- DThe radial artery
3.Easy
Which measure is a mainstay of daily eczema care?
- AApplying emollients generously and often, even when the skin looks clear
- BUsing perfumed soap twice a day to remove bacteria from the skin surface
- CTaking long, hot baths with bubble bath every evening
- DApplying emollients only when the skin is very inflamed
4.Medium
After a cardiac catheterisation through the femoral artery, which assessment is essential?
- ABowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
- BPulse, colour, warmth and sensation of the leg below the puncture site
- CPupil size and reaction every 15 minutes
- DUrine specific gravity at every void
5.Medium
At about what age do most children understand that death is permanent and happens to everyone?
- ANot until about 18 years
- BAbout 9 to 10 years
- CAbout 2 years
- DAbout 4 years
6.Medium
Which activity best supports a 9-year-old during a long hospital stay?
- ASchoolwork and contact with classmates, plus games or hobbies
- BPlaying with baby toys in the toddler playroom with younger children
- CWatching television alone for most of the day
- DStaying in bed with no visitors to rest
7.Hard
The parents of a child who is being resuscitated ask to stay in the room. What is the best response?
- AAllow them to stay if they wish, with a staff member to support and explain
- BAsk them to leave, because their presence always harms the team's work
- CTell them to wait outside in the corridor until the resuscitation is over
- DAllow them to stay only if they help with the compressions
8.Hard
An infant on digoxin has vomited twice. The apical pulse is below the limit set by the prescriber. What should the nurse do?
- AGive the dose and recheck the pulse in an hour
- BWithhold the dose and inform the prescriber
- CGive the dose with milk to stop the vomiting
- DGive half the dose to be on the safe side
Answer key
- 1. B · It is a normal finding at this age
- 2. A · The brachial artery
- 3. A · Applying emollients generously and often, even when the skin looks clear
- 4. B · Pulse, colour, warmth and sensation of the leg below the puncture site
- 5. B · About 9 to 10 years
- 6. A · Schoolwork and contact with classmates, plus games or hobbies
- 7. A · Allow them to stay if they wish, with a staff member to support and explain
- 8. B · Withhold the dose and inform the prescriber
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