1.Easy
Where is the pain of appendicitis typically felt once it has localised?
- AIn the right lower abdomen
- BIn the left lower abdomen
- CIn the upper middle abdomen only
- DAround the left shoulder blade
2.Easy
Which drug reverses opioid-induced breathing depression?
- AAtropine
- BFlumazenil
- CNaloxone
- DGlucagon
3.Easy
Why should aspirin generally be avoided in children with viral illnesses such as influenza or chickenpox?
- AIt always causes allergic reactions
- BIt is linked to Reye syndrome
- CIt causes immediate kidney failure
- DIt makes vaccines ineffective
4.Medium
Why is hearing screening done in the newborn period?
- ABecause hearing loss always causes balance problems
- BTo check whether the baby will need glasses later in childhood
- CEarly detection allows support that protects language development
- DTo diagnose ear infections before discharge
5.Medium
A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?
- AWeight gain of more than 10 kg in the first month
- BA sudden rise in blood glucose
- CA drop in the platelet count
- DWorsening mood or new suicidal thoughts
6.Medium
After cleft lip repair, which nursing action protects the suture line?
- ALet the baby suck on a dummy straight away
- BPlace the baby on the stomach to sleep
- CClean the suture line with a dry, rough cloth to remove crusts several times a day
- DPosition the baby on the back or side and avoid putting objects in the mouth
7.Hard
A family speaks little English. Their 10-year-old offers to translate during a discussion about consent for his sister's surgery. What should the nurse do?
- AUse simple English and gestures only
- BArrange a professional interpreter
- CAsk another patient's visitor who speaks the language
- DLet the 10-year-old translate to save time
8.Hard
Two children with cystic fibrosis are admitted to the same ward. Which precaution is important?
- AAsk them to do their daily physiotherapy sessions together in the playroom
- BKeep them apart, not sharing rooms, equipment or play areas
- CLet them share airway clearance equipment to save resources
- DPut them in the same room so they can support each other
Answer key
- 1. A · In the right lower abdomen
- 2. C · Naloxone
- 3. B · It is linked to Reye syndrome
- 4. C · Early detection allows support that protects language development
- 5. D · Worsening mood or new suicidal thoughts
- 6. D · Position the baby on the back or side and avoid putting objects in the mouth
- 7. B · Arrange a professional interpreter
- 8. B · Keep them apart, not sharing rooms, equipment or play areas
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