1.Easy
What is the main feature of mumps?
- AA high-pitched whoop after coughing fits
- BPainful ulcers on the hands, feet and mouth
- CA spreading rash that starts behind the ears
- DSwelling of the parotid salivary glands
2.Easy
How is cystic fibrosis inherited?
- AX-linked recessive
- BAutosomal recessive
- CAutosomal dominant
- DThrough mitochondrial DNA from the mother
3.Easy
According to atraumatic care, where should a painful procedure such as a blood test be done?
- AIn the waiting room in front of other children
- BIn the child's bed so they do not need to move
- CIn a treatment room, not in the child's bed
- DIn the playroom so the child feels relaxed
4.Medium
A 20-month-old drinks about 1.5 litres of cow's milk a day and eats little solid food. He is pale and tired. What is the most likely problem?
- AVitamin B12 deficiency
- BIron-deficiency anaemia
- CLactose intolerance
- DSickle cell disease
5.Medium
Which temperature is usually taken as fever in a child?
- A39.5 °C (103.1 °F) or higher
- B37.0 °C (98.6 °F) or higher
- C37.5 °C (99.5 °F) or higher
- D38.0 °C (100.4 °F) or higher
6.Medium
Which signs suggest digoxin toxicity in a child?
- AIncreased appetite, extra energy and rapid weight gain over a few days
- BHigh fever with a spreading red rash
- CNausea, vomiting, poor feeding and a slow heart rate
- DFast heart rate with high blood pressure
7.Hard
A formula-fed infant is diagnosed with cow's milk protein allergy. Which formula is usually advised?
- AA rice milk drink fortified with calcium
- BA goat's milk formula
- CAn extensively hydrolysed formula
- DA lactose-free cow's milk formula
8.Hard
Which child should the nurse assess first at the start of a shift?
- AA 4-year-old with gastroenteritis who is drinking oral rehydration solution
- BA 2-year-old with bronchiolitis: respiratory rate 68/min and marked chest retractions
- CA 10-year-old with a leg cast who says it itches
- DA 6-year-old after appendectomy with pain rated 4 out of 10
Answer key
- 1. D · Swelling of the parotid salivary glands
- 2. B · Autosomal recessive
- 3. C · In a treatment room, not in the child's bed
- 4. B · Iron-deficiency anaemia
- 5. D · 38.0 °C (100.4 °F) or higher
- 6. C · Nausea, vomiting, poor feeding and a slow heart rate
- 7. C · An extensively hydrolysed formula
- 8. B · A 2-year-old with bronchiolitis: respiratory rate 68/min and marked chest retractions
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