1.Easy
What is the purpose of newborn blood spot screening, for example for phenylketonuria?
- ATo measure the baby's iron stores
- BTo detect treatable disorders early, before symptoms appear
- CTo test for infections caught during birth
- DTo find the baby's blood group for transfusion
2.Easy
Which sign suggests heart failure in an infant?
- AA slow heart rate at rest
- BSweating and tiring during feeds
- CSlow breathing with long pauses
- DFeeding eagerly and finishing every bottle quickly
3.Easy
Which transmission-based precautions are used for a hospitalised child with chickenpox?
- AStandard precautions only
- BDroplet precautions only, in a shared bay
- CAirborne and contact precautions
- DContact precautions only
4.Medium
A newborn with suspected oesophageal atresia is drooling frothy saliva. What is the immediate nursing care?
- ALay the baby flat and give the next feed slowly through a teat
- BKeep the baby nil by mouth, raise the head and suction the upper pouch as needed
- CGive a full feed by bottle and observe for vomiting afterwards
- DOffer small sips of sterile water to check whether the baby can swallow
5.Medium
A child with type 1 diabetes is unconscious from hypoglycaemia at school. What should be done?
- AGive glucagon and call emergency services
- BGive a glass of orange juice by mouth
- CGive the child's usual dose of insulin
- DLet the child sleep and check again in an hour
6.Medium
Which treatment is commonly used for a child with moderate croup?
- AA cough suppressant
- BA single dose of an oral corticosteroid such as dexamethasone
- CA course of oral antibiotics such as amoxicillin for 5 to 7 days
- DChest physiotherapy
7.Hard
A child treated with intravenous immunoglobulin (IVIG) for Kawasaki disease is due her MMR vaccine next week. What should the nurse know?
- ALive vaccines are usually delayed for several months after IVIG
- BMMR should be given early, because IVIG weakens the immune system
- CIVIG makes vaccines unnecessary, so MMR can be skipped
- DMMR can be given safely the same day as the next IVIG dose
8.Hard
The parents of a 9-year-old who wets the bed most nights have been punishing him. What is the best advice?
- AStop all drinks after lunch and keep him in nappies
- BStop punishing him, praise dry nights and consider a bedwetting alarm
- CWait, as no help is available until he is a teenager
- DWake him every hour through the night and make him change his own sheets
Answer key
- 1. B · To detect treatable disorders early, before symptoms appear
- 2. B · Sweating and tiring during feeds
- 3. C · Airborne and contact precautions
- 4. B · Keep the baby nil by mouth, raise the head and suction the upper pouch as needed
- 5. A · Give glucagon and call emergency services
- 6. B · A single dose of an oral corticosteroid such as dexamethasone
- 7. A · Live vaccines are usually delayed for several months after IVIG
- 8. B · Stop punishing him, praise dry nights and consider a bedwetting alarm
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