1.Easy
At about what age can most children copy a circle with a crayon?
- AAbout 6 years
- BAbout 3 years
- CAbout 12 months
- DAbout 18 months
2.Easy
Bedwetting at night is usually not considered a problem needing treatment until about what age?
- AAbout 14 years
- BAbout 10 years
- CAbout 2 years
- DAbout 5 years
3.Easy
A 13-year-old boy has sudden, severe pain in one testis with nausea and vomiting. How should this be treated?
- AAs a sports strain that will heal with rest
- BAs normal growing pains of puberty
- CAs a urine infection to be treated at home
- DAs a surgical emergency
4.Medium
Which diet is usually advised for a child with nephrotic syndrome while there is oedema?
- AA carbohydrate-free diet to reduce fluid retention
- BA high-salt diet to replace losses in the urine
- CNo added salt
- DA protein-free diet to rest the kidneys completely
5.Medium
A topical anaesthetic cream (lidocaine–prilocaine) is planned before a cannula insertion. What is important?
- AApply it well in advance, usually about 60 minutes, under an occlusive dressing
- BApply it just seconds before the needle
- CApply it to broken skin for faster effect
- DRub it firmly into the skin and wipe it off after about 1 minute, without a dressing
6.Medium
Which growth chart finding in a 10-month-old most needs further evaluation?
- AHead circumference that follows the 75th percentile curve
- BWeight that has fallen across two major percentile lines since the last visits
- CLength on the 50th percentile and weight on the 40th percentile
- DWeight that has stayed on the 10th percentile since birth
7.Hard
A child with sickle cell disease has new chest pain, cough, fever and an oxygen saturation of 90%. What should the nurse suspect?
- AAnxiety about being in hospital
- BAcute chest syndrome, an emergency
- CA mild cold
- DNormal pain from a limb crisis
8.Hard
A child with extensive burns is receiving IV fluid resuscitation. Which finding best shows that fluid replacement is adequate?
- AA urine output of about 1 mL/kg per hour
- BThe blood pressure is in the high range
- CThe child is asking for a drink
- DThe burned skin looks less red and the blisters are smaller
Answer key
- 1. B · About 3 years
- 2. D · About 5 years
- 3. D · As a surgical emergency
- 4. C · No added salt
- 5. A · Apply it well in advance, usually about 60 minutes, under an occlusive dressing
- 6. B · Weight that has fallen across two major percentile lines since the last visits
- 7. B · Acute chest syndrome, an emergency
- 8. A · A urine output of about 1 mL/kg per hour
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