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Kuwait MOH Paediatric Nursing Practice Questions
Paediatric questions test normal development, the sick child, dehydration and common childhood illnesses, plus weight-based medication safety. Below are 5 free sample questions for the Kuwait MOH nursing exam, each with the answer and a rationale.
What this topic covers
- Growth and development milestones
- Paediatric vital signs and pain scales
- Dehydration and oral rehydration
- Croup, bronchiolitis and epiglottitis
- Febrile seizures
- Child safety and safeguarding
The full bank has 90 paediatric nursing questions, part of 1,500 questions across 16 nursing topics.
Free Kuwait MOH paediatric nursing questions
1. Which finding is typical of hypertrophic pyloric stenosis in a 5-week-old infant?
- A. Bile-stained vomiting
- B. Ribbon-like stools
- C. Olive-shaped mass in the upper abdomen
- D. Sausage-shaped mass in the right abdomen
Show answer and rationale
Pyloric stenosis causes projectile, non-bilious vomiting after feeds in a hungry infant, with a palpable olive-shaped mass in the epigastrium or right upper quadrant. A sausage-shaped mass suggests intussusception.
Reference: Wong's Nursing Care of Infants and Children – pyloric stenosis
2. A child with nephrotic syndrome is being treated with corticosteroids. Which nursing action is most important?
- A. Encourage a high-sodium diet
- B. Weigh the child daily and test urine for protein
- C. Encourage strict bed rest for several weeks
- D. Check the temperature once a week
Show answer and rationale
Daily weight and urine protein testing track oedema and response to treatment. The child is at increased risk of infection, so frequent temperature checks are needed, and salt is usually limited while oedema is present.
Reference: Wong's Nursing Care of Infants and Children – nephrotic syndrome
3. A nurse needs to assess postoperative pain in a 1-year-old. Which pain assessment tool is most appropriate?
- A. Visual analogue line scale
- B. Numeric rating scale from 0 to 10
- C. Wong-Baker FACES scale
- D. FLACC behavioural scale
Show answer and rationale
FLACC (Face, Legs, Activity, Cry, Consolability) is an observational tool for preverbal children. Wong-Baker FACES requires the child to self-report (usually age 3 and over), and numeric scales require understanding of numbers.
Reference: Wong's Nursing Care of Infants and Children – pain assessment
4. A 10 kg child has some (moderate) dehydration from diarrhoea. Using the WHO guideline of 75 mL/kg of oral rehydration solution (ORS) over 4 hours, how much ORS should the child receive in the first 4 hours?
- A. 1500 mL
- B. 350 mL
- C. 75 mL
- D. 750 mL
Show answer and rationale
75 mL/kg x 10 kg = 750 mL of ORS over the first 4 hours (WHO Plan B), then the child is reassessed.
Reference: WHO IMCI – Plan B treatment of some dehydration
5. An infant with pyloric stenosis is admitted with dry mucous membranes, reduced wet nappies and abnormal electrolytes. What is the priority before pyloromyotomy?
- A. Correct fluid and electrolyte imbalances with IV fluids
- B. Give an oral antiemetic before each feed
- C. Feed thickened formula to reduce vomiting
- D. Take the infant to theatre immediately
Show answer and rationale
Dehydration and electrolyte imbalance must be corrected with IV fluids before surgery to make anaesthesia safe; the infant is usually kept nil by mouth. Pyloromyotomy is not an emergency operation.
Reference: Wong's Nursing Care of Infants and Children – pyloric stenosis
Study tip
Never examine the throat of a child with suspected epiglottitis. It is a classic exam trap.
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