22/09/2026
π Nursing Advance β Daily MCQ Practice
Q1. Identify the following device prescribed for administration of beta agonist to a 5-year-old child with moderate persistent asthma:
A. Rotahaler
B. Metered-dose inhaler with spacer
C. AMBU
D. T-piece
Answer: B. Metered-dose inhaler with spacer
Rationale:
A spacer is an inhalation chamber used with a metered-dose inhaler (MDI) to improve delivery of inhaled Ξ²β-agonists to the lungs. It is particularly useful in young children because it reduces the need for precise coordination between inhalation and actuation of the inhaler.
Q2. Which one of the following life-threatening congenital anomalies in a newborn presents with polyhydramnios, aspiration pneumonia, excessive salivation, and difficulty in passing a nasogastric tube?
(APPG 2016)
A. Gastroschisis
B. Diaphragmatic hernia
C. Tracheo-esophageal fistula
D. Choanal atresia
Answer: C. Tracheo-esophageal fistula
Rationale:
Esophageal atresia, often associated with tracheoesophageal fistula (TEF), causes inability to swallow normally, resulting in polyhydramnios, excessive salivation, choking/coughing and aspiration pneumonia. A nasogastric tube cannot be advanced into the stomach and typically coils in the blind upper esophageal pouch.
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