1.Easy
Which side effects are common after a dose of salbutamol?
- AOral thrush and a hoarse voice
- BDrowsiness and slow breathing
- CWeight gain and high blood sugar
- DTremor and a fast heart rate
2.Easy
What is the most common cause of Down syndrome?
- AA missing X chromosome in a girl
- BA single gene inherited from both carrier parents
- CInfection with rubella in early pregnancy
- DAn extra copy of chromosome 21 (trisomy 21)
3.Easy
Which resting heart rate range is typical for a school-age child (about 6 to 12 years)?
- AAbout 40 to 60 beats per minute
- BAbout 70 to 120 beats per minute
- CAbout 120 to 170 beats per minute
- DAbout 150 to 200 beats per minute
4.Medium
Which advice is best for a baby with mild nappy rash?
- AWipe with perfumed baby wipes at every change to kill the bacteria on the skin
- BChange nappies often, clean gently, use a barrier cream and allow nappy-free time
- CApply talcum powder thickly at every nappy change
- DUse tighter nappies so that less urine reaches the skin
5.Medium
Which signs suggest digoxin toxicity in a child?
- AIncreased appetite, extra energy and rapid weight gain over a few days
- BHigh fever with a spreading red rash
- CFast heart rate with high blood pressure
- DNausea, vomiting, poor feeding and a slow heart rate
6.Medium
A newborn is still wet a few minutes after birth. Which heat-loss mechanism is the main concern, and how is it prevented?
- AConduction; place the baby on a cold firm surface
- BRadiation; move the cot close to an outside window
- CConvection; leave the baby uncovered in a draught
- DEvaporation; dry the baby straight away, including the head
7.Hard
A conscious 6-month-old is choking and cannot cry or cough. Which technique is appropriate?
- AHolding the baby upside down by the ankles and shaking
- BA blind finger sweep of the mouth
- CUp to 5 back blows followed by up to 5 chest thrusts
- DAbdominal thrusts
8.Hard
A 4-year-old chokes on a sweet but is coughing forcefully and can speak. What should the nurse do?
- AEncourage her to keep coughing and stay with her, watching closely
- BGive back blows straight away to dislodge the sweet
- CDo a finger sweep of the mouth to find the sweet
- DGive her a large drink of water to try to wash the sweet down
Answer key
- 1. D · Tremor and a fast heart rate
- 2. D · An extra copy of chromosome 21 (trisomy 21)
- 3. B · About 70 to 120 beats per minute
- 4. B · Change nappies often, clean gently, use a barrier cream and allow nappy-free time
- 5. D · Nausea, vomiting, poor feeding and a slow heart rate
- 6. D · Evaporation; dry the baby straight away, including the head
- 7. C · Up to 5 back blows followed by up to 5 chest thrusts
- 8. A · Encourage her to keep coughing and stay with her, watching closely
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