1.Easy
Which pattern is typical of roseola infantum?
- AA rash that appears first, followed by a whole week of high fever and cough
- BItchy blisters in crops that crust over within days
- CA bright red rash on both cheeks, like a slap
- DHigh fever for a few days, then a pink rash as the fever settles
2.Easy
Which congenital heart defect causes cyanosis?
- AAtrial septal defect
- BPatent ductus arteriosus
- CSmall ventricular septal defect with a left-to-right shunt
- DTransposition of the great arteries
3.Easy
For which child is a 0 to 10 numerical pain rating scale usually suitable?
- AA child of about 8 years or older
- BA 3-year-old who cannot yet count
- CA 2-year-old with a recent fracture
- DA newborn after a heel prick
4.Medium
A child with suspected appendicitis is waiting for surgery. Which action must the nurse avoid?
- AKeeping the child nil by mouth
- BPutting a heat pad on the abdomen
- CRegular pain assessment
- DGiving IV fluids as prescribed
5.Medium
A child with ITP has a low platelet count. Which advice is correct?
- ATake aspirin for any pain to thin the blood
- BAvoid contact sports and medicines such as ibuprofen and aspirin
- CPlay rugby and football as normal to stay active
- DUse a hard toothbrush and floss firmly to keep the gums healthy
6.Medium
A 5-week-old baby has forceful (projectile) vomiting after every feed and seems hungry afterwards. What is the likely cause?
- AHirschsprung disease
- BPyloric stenosis
- CIntussusception
- DGastro-oesophageal reflux that is normal for age
7.Hard
How should a child who is still drowsy after a tonsillectomy be positioned?
- AOn the side or semi-prone, so secretions can drain from the mouth
- BProne with the face directly in the pillow
- CFlat on the back with the head tilted backwards
- DSitting fully upright with the head bent forward on the chest
8.Hard
A few weeks after diagnosis of type 1 diabetes, a child's insulin needs fall a lot. The parents think the diabetes is cured. What should the nurse explain?
- AThe child has become insulin resistant and now needs tablets instead of injections
- BThe diabetes has turned into type 2 diabetes
- CThe diagnosis was probably wrong, and insulin can be stopped
- DThis is the temporary "honeymoon" phase; insulin is still needed
Answer key
- 1. D · High fever for a few days, then a pink rash as the fever settles
- 2. D · Transposition of the great arteries
- 3. A · A child of about 8 years or older
- 4. B · Putting a heat pad on the abdomen
- 5. B · Avoid contact sports and medicines such as ibuprofen and aspirin
- 6. B · Pyloric stenosis
- 7. A · On the side or semi-prone, so secretions can drain from the mouth
- 8. D · This is the temporary "honeymoon" phase; insulin is still needed
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