1.Easy
Which sweetener must children with phenylketonuria (PKU) avoid?
- AGlucose
- BSucrose
- CFructose
- DAspartame
2.Easy
Into which airway does an inhaled foreign body most often go?
- AThe right main bronchus
- BThe left upper lobe bronchus
- CBoth main bronchi equally often
- DThe left main bronchus
3.Easy
Which factors increase the risk of retinopathy of prematurity?
- APhototherapy for jaundice given without the use of eye shields
- BBeing born by caesarean section at term
- CVery preterm birth and exposure to high oxygen levels
- DBeing born after 42 weeks with a large birth weight
4.Medium
How can acute rheumatic fever be prevented?
- ABy prompt antibiotic treatment of streptococcal sore throat
- BBy routine MMR vaccination in infancy
- CBy avoiding dairy products and cold drinks during every cold or cough
- DBy giving aspirin for every fever
5.Medium
A child's asthma action plan shows he is in the yellow zone. What should he do?
- ADouble the preventer dose and do nothing else
- BUse the reliever as the plan says and contact the doctor if it does not help
- CStop all medicines and wait to see if the symptoms pass
- DGo straight to the emergency department without using any medicine first
6.Medium
Which advice about screen use reflects common paediatric guidance for children under about 18 months?
- AUp to 2 hours a day of educational TV programmes is beneficial for language
- BBackground TV helps language development
- CAvoid screen media, apart from video calls with family
- DScreens are fine as long as the volume is low
7.Hard
The safe dose range of a drug is 25–50 mg/kg per day, divided every 8 hours. A 12 kg child is prescribed 250 mg every 8 hours. What should the nurse do?
- AGive the dose, because the minimum safe daily dose is 300 mg
- BContact the prescriber, because 750 mg a day is above the maximum of 600 mg
- CGive the dose, because 250 mg is within the range for a single dose
- DGive half the dose and inform the prescriber at the next round
8.Hard
The nurse has taught the parents of a 1-year-old about car safety. Which statement shows a need for further teaching?
- A"We will not put her in the seat wearing a thick, padded coat."
- B"We will keep her rear-facing for as long as her seat allows."
- C"We will make sure the harness is snug, with no slack at the shoulders."
- D"Her rear-facing seat can go in the front passenger seat with the airbag switched on."
Answer key
- 1. D · Aspartame
- 2. A · The right main bronchus
- 3. C · Very preterm birth and exposure to high oxygen levels
- 4. A · By prompt antibiotic treatment of streptococcal sore throat
- 5. B · Use the reliever as the plan says and contact the doctor if it does not help
- 6. C · Avoid screen media, apart from video calls with family
- 7. B · Contact the prescriber, because 750 mg a day is above the maximum of 600 mg
- 8. D · "Her rear-facing seat can go in the front passenger seat with the airbag switched on."
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