1.Easy
How is congenital hypothyroidism treated?
- ARemoval of the thyroid gland in infancy
- BAn iodine-free diet from birth
- CDaily levothyroxine, usually for life
- DA single dose of radioactive iodine
2.Easy
How is sickle cell disease inherited?
- ANot inherited; it is acquired
- BX-linked recessive
- CAutosomal recessive
- DAutosomal dominant
3.Easy
Which symptom is typical of croup?
- AA barking, seal-like cough
- BA whooping sound after coughing fits
- CWheeze on breathing out only
- DDrooling and inability to swallow
4.Medium
Which activity best supports a 9-year-old during a long hospital stay?
- ASchoolwork and contact with classmates, plus games or hobbies
- BWatching television alone for most of the day
- CStaying in bed with no visitors to rest
- DPlaying with baby toys in the toddler playroom with younger children
5.Medium
A baby with developmental dysplasia of the hip has a Pavlik harness. Which teaching is correct?
- AApply powder and lotion under the straps to protect the skin
- BKeep it on as instructed, do not adjust the straps and check the skin daily
- CTighten the straps each week as the baby grows
- DTake it off every night so the baby can sleep more comfortably and move freely
6.Medium
How can the nurse best support a child with autism on a children's ward?
- APlace the child in the busiest bay near the nurses' station
- BChange the nurse each shift so the child meets more people
- CKeep routines predictable, reduce noise and use visual schedules
- DExplain all procedures only at the very last minute to avoid days of worry
7.Hard
A child has a swollen, red eyelid with fever, pain on moving the eye and blurred vision. What should the nurse suspect?
- AOrbital cellulitis, which needs urgent review and IV antibiotics
- BA stye, which will drain on its own with warm compresses
- CAn insect bite, which needs only a cold compress
- DSimple conjunctivitis, treated with eye drops at home
8.Hard
A 10-year-old has vomiting, abdominal pain, deep rapid breathing and a fruity smell on the breath. His blood glucose is very high. What is the most likely diagnosis?
- AGastroenteritis
- BDiabetic ketoacidosis
- CAppendicitis
- DAcute asthma attack with hyperventilation
Answer key
- 1. C · Daily levothyroxine, usually for life
- 2. C · Autosomal recessive
- 3. A · A barking, seal-like cough
- 4. A · Schoolwork and contact with classmates, plus games or hobbies
- 5. B · Keep it on as instructed, do not adjust the straps and check the skin daily
- 6. C · Keep routines predictable, reduce noise and use visual schedules
- 7. A · Orbital cellulitis, which needs urgent review and IV antibiotics
- 8. B · Diabetic ketoacidosis
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