1.Easy
At about what age do most children start combining two words, such as "more milk"?
- AAbout 12 months
- BAbout 4 years
- CAbout 2 years
- DAbout 9 months
2.Easy
Which axillary temperature range is normal for a newborn?
- AAbout 36.5 to 37.5 °C (97.7 to 99.5 °F)
- BAbout 35.0 to 36.0 °C (95.0 to 96.8 °F)
- CAbout 37.8 to 38.5 °C (100.0 to 101.3 °F)
- DAbout 34.0 to 35.0 °C (93.2 to 95.0 °F)
3.Easy
Why should honey not be given to babies under 12 months?
- AIt can contain spores that cause infant botulism
- BIt is too low in calories
- CIt causes tooth decay within days in a baby's new teeth
- DIt causes jaundice
4.Medium
Which measure should be avoided in a sickle cell pain crisis?
- AGenerous fluids by mouth or IV
- BCold packs on the painful area
- CWarm packs and gentle positioning
- DRegular pain assessment and analgesia
5.Medium
A 3-day-old has a red, swollen eyelid with a heavy discharge of pus. What should the nurse do?
- AClean the eye with breast milk and review in a week
- BApply an over-the-counter steroid eye ointment
- CArrange prompt medical review, as infection from the birth canal is possible
- DReassure the parents that sticky eyes are always harmless in the first weeks of life
6.Medium
How should an infant with heart failure be fed?
- ALying flat on the back so the baby does not need to hold the head up
- BStop the feed when the baby tires and wait until the next scheduled feed
- CLarge feeds every 6 hours so the baby can rest in between
- DSmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
7.Hard
The 7-year-old brother of a child with cancer has started misbehaving at school. What is the most likely explanation?
- AHe is copying behaviour from other children in his class
- BHe has developed attention deficit hyperactivity disorder and needs medicine
- CIt is unrelated to the illness and is normal for his age
- DHe may feel worried, jealous or left out and needs attention and information
8.Hard
A child treated with intravenous immunoglobulin (IVIG) for Kawasaki disease is due her MMR vaccine next week. What should the nurse know?
- AMMR can be given safely the same day as the next IVIG dose
- BIVIG makes vaccines unnecessary, so MMR can be skipped
- CLive vaccines are usually delayed for several months after IVIG
- DMMR should be given early, because IVIG weakens the immune system
Answer key
- 1. C · About 2 years
- 2. A · About 36.5 to 37.5 °C (97.7 to 99.5 °F)
- 3. A · It can contain spores that cause infant botulism
- 4. B · Cold packs on the painful area
- 5. C · Arrange prompt medical review, as infection from the birth canal is possible
- 6. D · Small, frequent feeds with rest breaks, using higher-energy milk if prescribed
- 7. D · He may feel worried, jealous or left out and needs attention and information
- 8. C · Live vaccines are usually delayed for several months after IVIG
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