1.Easy
Where is the pain of appendicitis typically felt once it has localised?
- AAround the left shoulder blade
- BIn the upper middle abdomen only
- CIn the right lower abdomen
- DIn the left lower abdomen
2.Easy
The Wong–Baker FACES scale is best suited for:
- APreterm newborns
- BChildren of about 3 years and older who can point to a face
- CUnconscious children on a ventilator who cannot respond verbally
- DBabies under 6 months
3.Easy
At about what age do most children start combining two words, such as "more milk"?
- AAbout 12 months
- BAbout 4 years
- CAbout 2 years
- DAbout 9 months
4.Medium
A child with type 1 diabetes has a stomach bug and is eating very little. What is the correct advice about insulin?
- AStop all insulin until the child is eating normally again, then restart at the usual dose
- BGive double the usual insulin to prevent ketones
- CGive insulin only if the child is vomiting
- DKeep giving insulin, check glucose and ketones more often and follow the sick-day plan
5.Medium
A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?
- APut a tongue depressor between the child's teeth
- BGive the prescribed rescue medicine and call for emergency help
- CWait another 15 minutes, because most seizures stop on their own
- DHold the child's arms and legs firmly to stop the movements
6.Medium
Which is the main modifiable risk factor for type 2 diabetes in adolescents?
- AA viral infection in early childhood
- BBeing of a particular ethnic background
- CA family history of diabetes
- DObesity with low physical activity
7.Hard
A 6-week-old is admitted with suspected pertussis. What is the main nursing concern?
- AA rash spreading from the face to the trunk
- BConstipation from reduced feeding
- CApnoea and cyanosis during or after coughing spells
- DHigh blood pressure from the coughing
8.Hard
A 2-year-old has swallowed several of his mother's iron tablets. Why is this treated as an emergency even if he looks well?
- AIron tablets cause an immediate allergic reaction in young children
- BIron tablets dissolve to form a gas that blocks the airway
- CIron poisoning can cause gut bleeding, shock and liver failure hours later
- DIron poisoning causes only constipation, which needs an enema
Answer key
- 1. C · In the right lower abdomen
- 2. B · Children of about 3 years and older who can point to a face
- 3. C · About 2 years
- 4. D · Keep giving insulin, check glucose and ketones more often and follow the sick-day plan
- 5. B · Give the prescribed rescue medicine and call for emergency help
- 6. D · Obesity with low physical activity
- 7. C · Apnoea and cyanosis during or after coughing spells
- 8. C · Iron poisoning can cause gut bleeding, shock and liver failure hours later
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