1.Easy
Which test is used to diagnose cystic fibrosis?
- AA throat swab culture
- BA urine glucose test
- CA chest X-ray alone
- DThe sweat chloride test
2.Easy
According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?
- AIntimacy versus isolation
- BInitiative versus guilt
- CTrust versus mistrust
- DIndustry versus inferiority
3.Easy
Which sign suggests heart failure in an infant?
- ASlow breathing with long pauses
- BFeeding eagerly and finishing every bottle quickly
- CSweating and tiring during feeds
- DA slow heart rate at rest
4.Medium
A 2-year-old says "No!" when it is time for his liquid medicine. What is the best approach?
- AOffer a limited choice, such as the cup or the syringe
- BWait until he agrees to take it, even if the dose is hours late
- CTell him he is a bad boy for refusing
- DAsk him whether he wants to take his medicine or not
5.Medium
Why is the Lund and Browder chart preferred over the adult "rule of nines" for estimating burn size in children?
- AIt counts the number of blisters on the body
- BIt is mainly used for small burns of the hands, feet and face in children
- CIt measures the depth of the burn rather than its area
- DIt adjusts for the larger head and smaller legs of young children
6.Medium
A child with suspected appendicitis is waiting for surgery. Which action must the nurse avoid?
- AGiving IV fluids as prescribed
- BPutting a heat pad on the abdomen
- CRegular pain assessment
- DKeeping the child nil by mouth
7.Hard
A child on a morphine infusion is very hard to wake, with a respiratory rate of 8 per minute and pinpoint pupils. What should the nurse do first?
- AGive a sedative to keep the child calm
- BLet the child sleep, as this shows the pain is controlled
- CReduce the infusion rate slightly and recheck the child's breathing in an hour
- DStop the infusion, support breathing and give naloxone as per protocol
8.Hard
A baby born at 27 weeks has grunting, chest retractions and rising oxygen needs. Which treatment directly addresses the cause?
- AIV antibiotics for 7 days
- BPhototherapy
- CSurfactant given into the trachea
- DOral glucose gel rubbed into the gums
Answer key
- 1. D · The sweat chloride test
- 2. B · Initiative versus guilt
- 3. C · Sweating and tiring during feeds
- 4. A · Offer a limited choice, such as the cup or the syringe
- 5. D · It adjusts for the larger head and smaller legs of young children
- 6. B · Putting a heat pad on the abdomen
- 7. D · Stop the infusion, support breathing and give naloxone as per protocol
- 8. C · Surfactant given into the trachea
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