1.Easy
What is the recommended chest compression rate during CPR on a child or infant?
- A140 to 160 per minute
- B60 to 80 per minute
- C30 to 40 per minute
- D100 to 120 per minute
2.Easy
How is congenital hypothyroidism treated?
- AA single dose of radioactive iodine
- BRemoval of the thyroid gland in infancy
- CAn iodine-free diet from birth
- DDaily levothyroxine, usually for life
3.Easy
Which site is usually recommended for intramuscular vaccines in infants?
- AThe muscles of the forearm
- BThe dorsogluteal muscle of the buttock
- CThe deltoid muscle in all ages
- DThe vastus lateralis muscle of the anterolateral thigh
4.Medium
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
- AGive nothing by mouth for 24 hours
- BGive diluted fruit juice instead of breast milk
- CStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
- DContinue breastfeeding, and give oral rehydration solution as advised
5.Medium
How should the nurse measure the heart rate of a 9-month-old?
- ACount the apical pulse for a full minute
- BRead it from the pulse oximeter only
- CCount the radial pulse for 15 seconds and multiply by 4
- DCount the carotid pulse for 30 seconds and multiply by 2
6.Medium
Which precaution applies to a child with haemophilia?
- AAvoid intramuscular injections and rectal temperatures where possible
- BGive aspirin for pain
- CEncourage contact sports such as rugby to strengthen the joints and muscles
- DApply heat to a bleeding joint
7.Hard
A 5-year-old insists that a tall, thin glass holds more juice than a short, wide glass, although he saw the same amount poured into each. What explains this?
- AIt is a sign of intellectual disability that needs assessment
- BHe has a visual problem and needs an eye examination
- CHe is showing abstract reasoning typical of the formal operational stage
- DHe has not yet developed conservation, which is typical of the preoperational stage
8.Hard
Which order should the nurse question for a child with neutropenia after chemotherapy?
- AMonitor the temperature by the axillary or oral route
- BReport a temperature of 38 °C or more immediately
- CPerform careful hand hygiene before every contact
- DMeasure the temperature rectally every 4 hours
Answer key
- 1. D · 100 to 120 per minute
- 2. D · Daily levothyroxine, usually for life
- 3. D · The vastus lateralis muscle of the anterolateral thigh
- 4. D · Continue breastfeeding, and give oral rehydration solution as advised
- 5. A · Count the apical pulse for a full minute
- 6. A · Avoid intramuscular injections and rectal temperatures where possible
- 7. D · He has not yet developed conservation, which is typical of the preoperational stage
- 8. D · Measure the temperature rectally every 4 hours
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