1.Easy
Febrile seizures most often occur in which age group?
- AIn the first week of life
- BBetween 8 and 12 years
- CIn adolescence
- DBetween about 6 months and 5 years
2.Easy
What is the recommended chest compression rate during CPR on a child or infant?
- A30 to 40 per minute
- B60 to 80 per minute
- C100 to 120 per minute
- D140 to 160 per minute
3.Easy
A child due for vaccines has a mild cold and a temperature of 37.8 °C. What is the general principle?
- AThe child must take antibiotics first
- BA mild illness is not a reason to delay vaccination
- CThe child should receive only half the dose
- DVaccines must be postponed for 4 weeks until the child is well
4.Medium
A newborn is still wet a few minutes after birth. Which heat-loss mechanism is the main concern, and how is it prevented?
- AConvection; leave the baby uncovered in a draught
- BConduction; place the baby on a cold firm surface
- CEvaporation; dry the baby straight away, including the head
- DRadiation; move the cot close to an outside window
5.Medium
How should a nurse prepare a 4-year-old for a procedure?
- AExplain shortly beforehand in simple words, and let the child handle the equipment or play with a doll
- BExplain nothing to avoid frightening the child
- CShow diagrams of the internal organs
- DGive a detailed explanation a week in advance
6.Medium
Which is the main modifiable risk factor for type 2 diabetes in adolescents?
- AObesity with low physical activity
- BA family history of diabetes
- CBeing of a particular ethnic background
- DA viral infection in early childhood
7.Hard
Why does a child with juvenile idiopathic arthritis need regular eye examinations?
- AThe joints of the eye socket are affected by arthritis
- BEye checks are only needed if the child already wears glasses for short sight
- CArthritis drugs always cause cataracts within a year
- DUveitis can develop without symptoms and damage vision
8.Hard
A 4-year-old has a high fever, is drooling, sitting forward with the neck extended and looks anxious. What should the nurse do first?
- AKeep the child calm and upright with the parent, and call a team skilled in airway management
- BTake a throat swab to identify the organism
- CInsert an IV cannula before calling for help
- DLie the child flat and use a tongue depressor to look into the throat and confirm the swelling
Answer key
- 1. D · Between about 6 months and 5 years
- 2. C · 100 to 120 per minute
- 3. B · A mild illness is not a reason to delay vaccination
- 4. C · Evaporation; dry the baby straight away, including the head
- 5. A · Explain shortly beforehand in simple words, and let the child handle the equipment or play with a doll
- 6. A · Obesity with low physical activity
- 7. D · Uveitis can develop without symptoms and damage vision
- 8. A · Keep the child calm and upright with the parent, and call a team skilled in airway management
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