1.Easy
Why should aspirin generally be avoided in children with viral illnesses such as influenza or chickenpox?
- AIt makes vaccines ineffective
- BIt causes immediate kidney failure
- CIt is linked to Reye syndrome
- DIt always causes allergic reactions
2.Easy
Why should honey not be given to babies under 12 months?
- AIt is too low in calories
- BIt causes tooth decay within days in a baby's new teeth
- CIt can contain spores that cause infant botulism
- DIt causes jaundice
3.Easy
How is congenital hypothyroidism treated?
- AA single dose of radioactive iodine
- BDaily levothyroxine, usually for life
- CRemoval of the thyroid gland in infancy
- DAn iodine-free diet from birth
4.Medium
A child with a myelomeningocele has a neurogenic bladder. Which management is usual?
- ARestricting fluids to reduce urine volume
- BClean intermittent catheterisation
- CWaiting for bladder control to develop naturally
- DA permanent catheter left in place for life
5.Medium
A 15-year-old seems very low in mood. Is it safe for the nurse to ask directly about suicidal thoughts?
- AOnly if the parents give written permission first
- BNo; only a psychiatrist is allowed to ask this question
- CNo; asking about suicide may put the idea into the young person's head and raise the risk
- DYes; asking directly does not increase the risk and helps find those who need help
6.Medium
At about what age do most children understand that death is permanent and happens to everyone?
- ANot until about 18 years
- BAbout 2 years
- CAbout 4 years
- DAbout 9 to 10 years
7.Hard
An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?
- APromise to keep the secret, so that she keeps trusting the nurse and tells more later
- BPhone the uncle straight away to ask for his side of the story before reporting anything
- CListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
- DAsk detailed, leading questions to find out exactly what happened
8.Hard
A 3-year-old says the IV pump "is angry" when it beeps. Which feature of thinking does this show?
- AObject permanence, typical of the sensorimotor stage
- BConservation, typical of concrete operations
- CAbstract reasoning, typical of formal operations
- DAnimism, typical of preoperational thinking
Answer key
- 1. C · It is linked to Reye syndrome
- 2. C · It can contain spores that cause infant botulism
- 3. B · Daily levothyroxine, usually for life
- 4. B · Clean intermittent catheterisation
- 5. D · Yes; asking directly does not increase the risk and helps find those who need help
- 6. D · About 9 to 10 years
- 7. C · Listen calmly, praise her for telling, explain it must be shared, and follow safeguarding
- 8. D · Animism, typical of preoperational thinking
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