1.

Common cause of airways obstruction in the paediatric age gro include all except

a. Foreign body obstruction b. Left sided heart failure

c. Infections processes e.g. Crop, Epiglottitis, Bronchiolitis

d. Asthma

2. An attempt to relieve foreign body obstruction should be made

a. In all cases of partial airway obstruction and in some case complete airway obstruction

b. In all cases of complete airway obstruction and in some case of partial airway obstruction.

c. In all cases of partial airway obstruction and in all cases 7. complete airway obstruction and in all
cases of complet airway obstruction.

d. In some cases of complete airway obstruction.

3. Use of the Heimlich maneuver (sub diaphragmatic abdomina thrusts) to help relieve foreign body
obstruction is indicated in al of the following causes except one.

a. A 2 year old with partial airway obstruction

b. An 18 month old with stridor end ineffective air exchange.

c. A six month old infant with partial obstruction

d. An 18 month old child with complete obstruction

4.All of the following are signs of respiratory distress except a. Use of the abdominal muscles to assist
with inhalation

b. Nasal flaring

c. Use of accessory muscles e.g. Sternocleido-mastoid muscle

d. Retraction and intercostals muscles during inhalation

5. Regarding bronchiolistis, all of the following statements are true except the

a. It is a condition characterized by the inflammation of bronchioles

b. It is common in children between the ages of 6 and 10

c. It often present with respiratory wheezing

d. It is caused by a virus

6. All of the following statements about epiglottis are true except

a. It is a bacteria infection of the epiglottis

b. It normally has a gradual and progressive onset

c. It is common in children greater than 3years of age

d. It is often associated with a high pitched stridor

7. Common causes of cardiac arrest in the paediatric age group include all the following except
a. Acquired heart disease

b. Injury/Trauma - motor vehicle accidents & and drowning burns, child abuse

c. Foreign body obstruction

d. Infection

6. The preferred site for checking for the presence of a pulse in a patient with cardiac arrest is the

a. Brachial artery

b. Carotid artery

c. Radial artery

d. carried out at a rate of

7.Rescue breading is correctly carried out at a rate of

a. 20/min for an infant-15/min for a child

b. 10/min for a child-20/min for an infant

c. 20/min for a child-10/min for an infant

d. 40/min for an infant -20/min for a child

8. The correct compression of ventilation ratio when performing cardiopulmonary respiration (CPR) is

a. 5:1 in the infant-5:1 in the child

b. 15:2 in the infant-5:1 in the child

c. 5:1 in the infant - 5:2 in the child

d. 15:2 in the infant-15:2 in the child

9. Management of pediatric cardiopulmonary arrest are a 25 except

a. Establish unresponsiveness and obtain help

c. Determine adequacy of breathing, administer artificial respiration, check for the presence of a
pulse, administer external chest compression

b. Position patient and ensure patient airway

d. Do nothing but reassure patient after 1 hour

10. A 3-year old child with diaphoresis, serious respiratory distress, unproductive cough and
expiratory wheezes is likely to be suffering from

a. Asthma
b. Foreign body obstruction

C. Acute bacteria epiglottitis

d. Emphysema

11. Medical Management of 3year old patient with Asthma may include all the following except

a. Administering supplementary humidified oxygen

b. Establishing an intravenous line with D5/0.25 normal saling

C. Administering epinephrine by subcutaneous injection

d. Administering Morphine sulphate, 10mg IV push

12. Specific Management of paediatric patients calls for all these parameters except one

a. Respect and recognition of the child's or the adolescence feelings of independence.

b. Respect for the child's privacy can be ignored Calmness and gentleness are important qualities.

C The nurse must be honest enough to tell the child if the medication will hurt

d. Try not to separate children from their parents even in emergency especially 1-3year old. Maximum
contact should be encouraged

13. A common problem in children which is often associated allergies is

a. Bronchopneumonia

b. Thrust

C. Asthma

d. Croup

14. . The following except one are the management principles in athma

a. Bronchio odilator to counteract bronchio - constriction

b. Fluids to treat dehydration and loosen up mucus, sodium bicarbonate to reduce respiratory
acidosis and steroid to reduce oedema and congestion of the bronchial membranes

c. Oxygen To treat hypoxemia and increase ventilation

d. Exposure to dust or an allergen to test tolerance

15. .X Croup or laryngotiacheo bronchitis is

a. A viral infection of the lower respiratory airways that occurs in children

b. A viral infection of the upper airways that occurs in children between 6months and 4years of age

c. A viral infection in the older school age child

d. None of the above

16. Sudden, unexplained death of an infant, the cause of which cannot be determined by autopsy is
known as

a. Seizures in children

b. Convulsive attack

C. Sudden infant death syndrome

d. Bronchiolitis

17. Status Asthmaticus is a very severe asthma attack that does not respond to routine drugs for
asthma such as epinephrine. Drugs indicated are all except

a. Sodium bicarbonate to treat the acidosis 1ml/kg I.V over 5 minutes

b. Aminophylline as a bronchodilator 2 - 4mg/kg diluted in at least 10 of DSW to be given IV over not

less than 15minutes

c. Hyrocortisone, a steroid. To reduce bronchial oedema, 5mg/kg added t IV bottle

d. Regrotone tablet 1 daily

18. Causes of seizures in children are all except

a. Head trauma

b. Fractured ribs

C. Meningitis

d Hypoxia and hypoglycaemia (if diabetic) and dehydration

19. Child battering can result in all except

a. Well groomed child

b. Serious mental distress

c. Physical injury and rape (sexual molestation)

d. Death

20. Signs of child abuse are all except

a. Multiple injuries, bruises, abrasion and extremity fractures

b. Old and fresh bruises of laceration

C. Burns

d. None of the above

21. Trauma is the leading cause of death In children age 3 and over. The commonest traumatic injury
in children is

a. Head and spinal injury

b. Blunt abdominal trauma and rupture of the spleen and kidney injuries

c. Pelvic fractures and joint

d. Long-bone fracture

22. Drugs used in advanced life support of children are the same those in adult, which of these do not
belong
a. Sodium bicarbonate V½ ml/kg IV 0.1ml/kg IV push for acidosis

b. Epinephrine(1:10,000) - 0.1ml/kg IV push for asystole a to convert ventricular fibrillation to coarse

ventriculation fibrillation

C. 500mg of pethidine

d. Atophine 0.0mg/kg IV push for brady cardia push for ventricular fibrillation and calcium (10
percent) 1ml/5kg slow IV for some cases of asystole

23. Intravenous cannulation can be carried out using the following blood vessels except

a. Scalp veins

b. Scalp arteries

c. Hard veins

d. External jugular veins

24. Types of child abuse include all except

a. Drowning

b. Physical abuse

C. Sexual abuse

d. Neglect and psychological Abuse

25. Which of the following is most important when caring for an Infant who has gastroenteritis? That

(a) Disposable equipment is used

(b) Faeces are disinfected before disposal

( c) No other infants are admitted to the ward

(c) The nurse washes her hands before leaving the

1. B
2. B
3. C
4. B
5. B
6. D
7. D
8. C
9. D
10. C
11. D
12. B
13. C
14. D
15. B
16. C
17. D
18. B
19. A
20. D
21. A
22. C
23. B
24. A
25. D
6. B
7. A