1.Easy
What causes respiratory distress syndrome in preterm babies?
- AInhaling meconium-stained fluid during birth
- BA viral infection caught from the mother
- CAn allergy to the oxygen used in the incubator
- DA lack of surfactant in the immature lungs
2.Easy
From about what age can whole cow's milk be given as a main drink?
- AAbout 3 months
- BNot until about 2 years
- CAbout 6 months
- DAbout 12 months
3.Easy
Which site is usually recommended for intramuscular vaccines in infants?
- AThe dorsogluteal muscle of the buttock
- BThe deltoid muscle in all ages
- CThe muscles of the forearm
- DThe vastus lateralis muscle of the anterolateral thigh
4.Medium
How is threadworm (pinworm) infection usually confirmed?
- AA tape test on the skin around the anus first thing in the morning
- BA blood test for worm antibodies taken an hour after an evening meal
- CAn abdominal X-ray to look for the worms in the gut
- DA urine sample collected in the evening
5.Medium
How should a parent respond to a 2-year-old's temper tantrum in a safe place?
- AShout loudly at the child to make the tantrum stop sooner
- BSmack the child to show that tantrums are not allowed
- CGive the child the sweet he wants so the tantrum stops
- DStay calm, keep the child safe and do not give in to the demand
6.Medium
A 3-year-old who used to speak in short sentences has stopped talking and no longer responds to her name. What is the most important point?
- AIt means the child is tired and should be seen in a year
- BLanguage develops in sudden spurts, so this is expected
- CLoss of previously gained skills at any age needs prompt assessment
- DIt is normal regression at this age
7.Hard
A 4-month-old is brought in drowsy and vomiting, with no visible injuries. Retinal haemorrhages are found. What should the nurse suspect?
- AAbusive head trauma
- BNormal newborn retinal changes
- CMigraine
- DViral gastroenteritis
8.Hard
A child with sickle cell disease has new chest pain, cough, fever and an oxygen saturation of 90%. What should the nurse suspect?
- AAcute chest syndrome, an emergency
- BNormal pain from a limb crisis
- CAnxiety about being in hospital
- DA mild cold
Answer key
- 1. D · A lack of surfactant in the immature lungs
- 2. D · About 12 months
- 3. D · The vastus lateralis muscle of the anterolateral thigh
- 4. A · A tape test on the skin around the anus first thing in the morning
- 5. D · Stay calm, keep the child safe and do not give in to the demand
- 6. C · Loss of previously gained skills at any age needs prompt assessment
- 7. A · Abusive head trauma
- 8. A · Acute chest syndrome, an emergency
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