All Free Paediatric Nursing MCQs with Answers

• A. Keep the child supine, provide oxygen, and urgently alert the trauma team
• B. Give oral fluids because internal bleeding is not visible
• C. Apply firm pressure directly over the swollen abdomen
• D. Encourage walking to assess whether the abdominal pain improves

Explanation: Pallor, restlessness, and abdominal distension after trauma may indicate concealed internal haemorrhage, so circulation support and urgent…

• A. Give oxygen by face mask and observe closely
• B. Begin effective bag-mask ventilation with oxygen
• C. Place the child upright and encourage deep breaths
• D. Start chest compressions immediately without ventilation

Explanation: Ineffective breathing with a pulse indicates respiratory failure, so assisted ventilation is the priority.

• A. Place the child supine and insert an oral airway
• B. Turn the child into a lateral recovery position
• C. Give oral fluids to clear the mouth
• D. Sit the child upright and leave the airway unassessed

Explanation: The lateral recovery position helps secretions drain and reduces aspiration while the child continues to breathe.

• A. Atropine by the prescribed route
• B. Naloxone by the prescribed route
• C. Flumazenil by the prescribed route
• D. Methylene blue by the prescribed route

Explanation: Naloxone reverses opioid-induced respiratory depression and may restore breathing.

• A. Apply an eye pad and arrange review later
• B. Irrigate the eye continuously with clean running water
• C. Instil antibiotic drops before washing the eye
• D. Neutralise the chemical with another household solution

Explanation: Immediate, prolonged irrigation dilutes and removes the chemical, limiting tissue damage.

• A. Mild wheezing with normal speech
• B. Increasing drowsiness with poor air entry
• C. Fast breathing with loud bilateral wheezing
• D. Anxiety with a slightly raised heart rate

Explanation: Drowsiness and poor air entry indicate fatigue and severely reduced ventilation, even if wheezing becomes less obvious.

• A. Stop all oral fluids until vomiting has ended
• B. Give small, frequent sips and continue after brief pauses
• C. Give only plain water until the diarrhoea stops
• D. Offer a concentrated solution to replace fluid faster

Explanation: Small frequent sips are better tolerated and allow continued replacement of water and electrolytes.

• A. An intraosseous access attempt by trained staff
• B. A central venous line after waiting for imaging
• C. A nasogastric tube for rapid fluid administration
• D. A urinary catheter before giving emergency fluids

Explanation: Intraosseous access provides rapid vascular access when intravenous access cannot be obtained during life-threatening shock.

• A. Cover the burn tightly with an elastic bandage
• B. Call the emergency team and support urgent airway assessment
• C. Apply ice directly over the burned chest
• D. Encourage the child to walk to improve ventilation

Explanation: A circumferential chest burn can restrict chest expansion as swelling and stiff eschar develop, causing respiratory compromise.

• A. Induce vomiting to remove the substance
• B. Give milk to dilute every possible poison
• C. Keep the container or substance information for identification
• D. Give activated charcoal to every poisoned child immediately

Explanation: Identifying the substance, amount, and time of exposure guides safe treatment and toxicology advice.