1.Easy
Which asthma medicine is a reliever for quick relief of symptoms?
- AAn inhaled corticosteroid taken every morning
- BFluticasone inhaled twice daily as a preventer
- CMontelukast tablets taken once a day at night
- DSalbutamol (albuterol)
2.Easy
Which finding on examination is typical of pyloric stenosis?
- AA tender mass in the left lower abdomen
- BAn olive-shaped mass in the upper abdomen
- CA soft bulge at the belly button when crying
- DA swollen abdomen with no bowel sounds at all
3.Easy
By about what age has a healthy infant typically doubled their birth weight?
- A12 months
- B4 to 6 months
- C1 month
- D2 years
4.Medium
Which temperature is usually taken as fever in a child?
- A37.5 °C (99.5 °F) or higher
- B39.5 °C (103.1 °F) or higher
- C37.0 °C (98.6 °F) or higher
- D38.0 °C (100.4 °F) or higher
5.Medium
Until when is a child with chickenpox usually considered infectious?
- AUntil the fever has gone for 24 hours
- BFor 6 weeks after the rash appears
- CUntil all the blisters have crusted over
- DOnly during the day before the rash appears
6.Medium
What should the nurse do before giving a dose of digoxin to an infant?
- ACount the apical pulse for a full minute and check it against the prescribed limits
- BMeasure the blood pressure and give the dose only if it is above the normal range
- CCount the radial pulse for 15 seconds and multiply by four
- DMeasure the temperature and give the dose only if there is no fever
7.Hard
A 9-year-old with Down syndrome has new neck pain, clumsy walking and changes in bladder control. What should the nurse suspect?
- AA simple urinary infection causing tiredness
- BThe normal low muscle tone of Down syndrome getting worse with age
- CAtlantoaxial instability with spinal cord compression
- DGrowing pains in the legs
8.Hard
A 15-year-old with type 1 diabetes has lost weight, and her HbA1c has risen sharply. She admits to skipping insulin doses. What should the nurse consider?
- AShe simply needs a lower insulin dose
- BShe may be omitting insulin to lose weight, a form of disordered eating that needs assessment
- CThe glucose meter must be broken
- DWeight loss is a good sign of improved control, so her insulin dose can now be lowered further
Answer key
- 1. D · Salbutamol (albuterol)
- 2. B · An olive-shaped mass in the upper abdomen
- 3. B · 4 to 6 months
- 4. D · 38.0 °C (100.4 °F) or higher
- 5. C · Until all the blisters have crusted over
- 6. A · Count the apical pulse for a full minute and check it against the prescribed limits
- 7. C · Atlantoaxial instability with spinal cord compression
- 8. B · She may be omitting insulin to lose weight, a form of disordered eating that needs assessment
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