1.Easy
Why should aspirin generally be avoided in children with viral illnesses such as influenza or chickenpox?
- AIt is linked to Reye syndrome
- BIt always causes allergic reactions
- CIt makes vaccines ineffective
- DIt causes immediate kidney failure
2.Easy
What is usually the greatest stressor for a hospitalised toddler?
- AChanges in appearance
- BMissing school
- CFear of death
- DSeparation from parents
3.Easy
What happens in the rooting reflex of a newborn?
- AWhen the baby is startled, the arms fling outwards and then come together
- BWhen the palm is touched, the baby grasps the finger tightly and holds on
- CWhen the sole is stroked, the toes fan out
- DWhen the cheek is stroked, the baby turns towards the touch and opens the mouth
4.Medium
What is "assent" in children's care?
- AThe legal consent signed by the parent for surgery
- BA form that lets the hospital treat any child without parental consent
- CThe doctor's decision about which treatment is best
- DThe child's agreement to care, sought alongside the parents' consent
5.Medium
Which non-drug technique suits a 5-year-old during a cannula insertion?
- ABlowing bubbles or looking at a pop-up book
- BBeing left alone so the child can concentrate
- CReading a detailed leaflet about the procedure
- DDoing slow breathing exercises with a numeric scale
6.Medium
How is urine output measured in an infant wearing nappies?
- AWeigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
- BEstimate it from how heavy the nappy feels in the hand
- CSqueeze the nappy out into a measuring jug and read the volume
- DCount only the number of nappy changes in each shift
7.Hard
A child with a head injury now has rising blood pressure, a falling heart rate and irregular breathing. What does this indicate?
- ANormal recovery after a head injury
- BA late sign of raised intracranial pressure; an emergency
- CDehydration that needs more fluids
- DPain from the injury that needs stronger, regular analgesia
8.Hard
A 4-month-old is brought in drowsy and vomiting, with no visible injuries. Retinal haemorrhages are found. What should the nurse suspect?
- ANormal newborn retinal changes
- BMigraine
- CViral gastroenteritis
- DAbusive head trauma
Answer key
- 1. A · It is linked to Reye syndrome
- 2. D · Separation from parents
- 3. D · When the cheek is stroked, the baby turns towards the touch and opens the mouth
- 4. D · The child's agreement to care, sought alongside the parents' consent
- 5. A · Blowing bubbles or looking at a pop-up book
- 6. A · Weigh the wet nappy and subtract the dry weight; 1 g is about 1 mL
- 7. B · A late sign of raised intracranial pressure; an emergency
- 8. D · Abusive head trauma
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