1.Easy
The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?
- AIt shows brain damage and needs a scan
- BIt is a normal finding at this age
- CIt is a sign of spinal cord compression
- DIt shows the baby is in pain
2.Easy
Which newborn scalp swelling typically crosses the suture lines?
- ACaput succedaneum
- BCraniosynostosis
- CCephalohaematoma
- DPositional plagiocephaly
3.Easy
What is the HEADSS (or HEEADSSS) assessment used for?
- AA scale for scoring dehydration in infants
- BA structured psychosocial interview with adolescents
- CA pain score for children who cannot speak
- DA screening test for newborn hearing before discharge
4.Medium
A 9-month-old has episodes of severe crying with knees drawn up, and passes a stool that looks like red-currant jelly. What is the likely cause?
- ACoeliac disease
- BPyloric stenosis
- CIntussusception
- DConstipation
5.Medium
A child has tinea capitis (ringworm of the scalp). Which treatment is usually needed?
- AA topical antifungal cream alone
- BOral antibiotics such as amoxicillin
- CAn oral antifungal medicine
- DShaving the head, with no medicine
6.Medium
Which instruction about giving oral liquid iron to a child is correct?
- AGive it mixed in a full bottle of milk to reduce stomach upset
- BGive it with a syringe or straw towards the back of the mouth; dark stools are expected
- CGive it together with an antacid to protect the stomach
- DStop the iron straight away if the stools turn dark green or black, as this means bleeding
7.Hard
A 4-year-old chokes on a sweet but is coughing forcefully and can speak. What should the nurse do?
- AGive back blows straight away to dislodge the sweet
- BEncourage her to keep coughing and stay with her, watching closely
- CDo a finger sweep of the mouth to find the sweet
- DGive her a large drink of water to try to wash the sweet down
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 diagnosis was probably wrong, and insulin can be stopped
- BThe diabetes has turned into type 2 diabetes
- CThis is the temporary "honeymoon" phase; insulin is still needed
- DThe child has become insulin resistant and now needs tablets instead of injections
Answer key
- 1. B · It is a normal finding at this age
- 2. A · Caput succedaneum
- 3. B · A structured psychosocial interview with adolescents
- 4. C · Intussusception
- 5. C · An oral antifungal medicine
- 6. B · Give it with a syringe or straw towards the back of the mouth; dark stools are expected
- 7. B · Encourage her to keep coughing and stay with her, watching closely
- 8. C · This is the temporary "honeymoon" phase; insulin is still needed
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