1.Easy
At about what age does stranger anxiety usually begin in infants?
- AAbout 1 to 2 months
- BAbout 4 to 5 years
- CAbout 2 to 3 years
- DAbout 6 to 8 months
2.Easy
Which health problem is common in babies with Down syndrome and is looked for soon after birth?
- ACongenital heart defects
- BCleft lip and palate
- CClubfoot on both sides
- DCataract only in old age
3.Easy
What type of vaccine is the measles–mumps–rubella (MMR) vaccine?
- AAn inactivated toxoid vaccine
- BA conjugate polysaccharide vaccine
- CA live attenuated vaccine
- DAn mRNA vaccine
4.Medium
A 2-year-old says "No!" when it is time for his liquid medicine. What is the best approach?
- AAsk him whether he wants to take his medicine or not
- BOffer a limited choice, such as the cup or the syringe
- CTell him he is a bad boy for refusing
- DWait until he agrees to take it, even if the dose is hours late
5.Medium
Which measure is most important in preventing infection in a child with neutropenia?
- AWearing a mask only when the child has a fever
- BGiving routine antibiotics to all family members
- CCareful hand hygiene by everyone in contact with the child
- DKeeping all visitors, including the parents, out of the child's room
6.Medium
A baby was born at 29 weeks and is now 2 months old. When should the routine 2-month vaccines be given?
- AOnly after the baby weighs 5 kg
- BNow, according to the baby's chronological age
- COnly when the baby reaches 2 months corrected age
- DOnly after the first birthday
7.Hard
A child with sickle cell disease has been exposed to parvovirus B19 (fifth disease). Why is this a concern?
- AIt makes the child immune to all future crises
- BIt can stop red cell production for days and cause severe anaemia
- CIt causes the sickle gene to become active in the child
- DIt triggers a severe allergic reaction to the virus
8.Hard
A 2-year-old is having a tonic–clonic seizure with a high fever. What should the nurse do first?
- AHold the child's limbs firmly to stop the movements and prevent injury from the jerking
- BPut a spoon in the child's mouth to protect the tongue
- CPut the child in a cool bath
- DProtect the child from injury, time the seizure and turn the child onto the side
Answer key
- 1. D · About 6 to 8 months
- 2. A · Congenital heart defects
- 3. C · A live attenuated vaccine
- 4. B · Offer a limited choice, such as the cup or the syringe
- 5. C · Careful hand hygiene by everyone in contact with the child
- 6. B · Now, according to the baby's chronological age
- 7. B · It can stop red cell production for days and cause severe anaemia
- 8. D · Protect the child from injury, time the seizure and turn the child onto the side
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