1.Easy
At about what age do most children say their first meaningful words?
- AAbout 2 years
- BAbout 6 months
- CAbout 4 months
- DAbout 12 months
2.Easy
Which routine infant vaccine is given by mouth rather than by injection in most schedules?
- AHepatitis B vaccine
- BRotavirus vaccine
- CMeasles, mumps and rubella (MMR) vaccine
- DTetanus vaccine
3.Easy
Which measure helps an infant with a cleft palate to feed?
- AFeeding lying flat to let gravity move the milk along
- BFeeding only through a nasogastric tube until school age
- CThickening every feed with baby cereal from birth onwards to slow the milk
- DA special bottle or teat, an upright position and frequent burping
4.Medium
A baby was born at 29 weeks and is now 2 months old. When should the routine 2-month vaccines be given?
- AOnly when the baby reaches 2 months corrected age
- BOnly after the first birthday
- COnly after the baby weighs 5 kg
- DNow, according to the baby's chronological age
5.Medium
Which signs suggest hypoglycaemia in a young child with diabetes?
- AA slow onset of dry skin and flushed cheeks over several days
- BDeep, rapid breathing with abdominal pain and vomiting
- CThirst, passing large amounts of urine and a fruity breath smell
- DShakiness, sweating, pallor and a sudden change in behaviour
6.Medium
A child with suspected appendicitis is waiting for surgery. Which action must the nurse avoid?
- APutting a heat pad on the abdomen
- BGiving IV fluids as prescribed
- CKeeping the child nil by mouth
- DRegular pain assessment
7.Hard
A family with a 2-year-old has a swimming pool in the garden. Which measure gives the most protection against drowning?
- ASwimming lessons from age 2, so that close supervision is no longer needed
- BArm floats whenever the child is near the pool
- CA four-sided fence with a self-closing, self-latching gate, plus constant supervision
- DExplaining to the child that the pool is dangerous
8.Hard
A school-age child takes methylphenidate for ADHD. Which teaching point is most important?
- ADouble the dose on days with tests at school to improve concentration further
- BTake it at bedtime to help sleep
- CStop it on school days only
- DTake the dose in the morning, and monitor appetite, sleep and growth
Answer key
- 1. D · About 12 months
- 2. B · Rotavirus vaccine
- 3. D · A special bottle or teat, an upright position and frequent burping
- 4. D · Now, according to the baby's chronological age
- 5. D · Shakiness, sweating, pallor and a sudden change in behaviour
- 6. A · Putting a heat pad on the abdomen
- 7. C · A four-sided fence with a self-closing, self-latching gate, plus constant supervision
- 8. D · Take the dose in the morning, and monitor appetite, sleep and growth
Full step-by-step solutions: practise this topic on examproblems.com.