1.Easy
Febrile seizures most often occur in which age group?
- AIn adolescence
- BIn the first week of life
- CBetween 8 and 12 years
- DBetween about 6 months and 5 years
2.Easy
What causes respiratory distress syndrome in preterm babies?
- AInhaling meconium-stained fluid during birth
- BA lack of surfactant in the immature lungs
- CAn allergy to the oxygen used in the incubator
- DA viral infection caught from the mother
3.Easy
Which respiratory rate range is typical for a healthy toddler (about 1 to 3 years) at rest?
- AAbout 6 to 10 breaths per minute
- BAbout 60 to 80 breaths per minute
- CAbout 24 to 40 breaths per minute
- DAbout 12 to 16 breaths per minute
4.Medium
A baby was born at 29 weeks and is now 2 months old. When should the routine 2-month vaccines be given?
- AOnly when the baby reaches 2 months corrected age
- BOnly after the baby weighs 5 kg
- COnly after the first birthday
- DNow, according to the baby's chronological age
5.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
- BKeep giving insulin, check glucose and ketones more often and follow the sick-day plan
- CGive insulin only if the child is vomiting
- DGive double the usual insulin to prevent ketones
6.Medium
A child has scabies. Which plan is correct?
- AStop treatment as soon as the itch improves on the first day
- BTreat the child and all close contacts at the same time, and wash bedding and clothes
- CTreat only the itchy areas of skin, not the whole body
- DTreat only the child, as family members without itching are not infected
7.Hard
Which finding in an infant with suspected reflux needs prompt medical review?
- ASpitting up more after a large feed
- BSmall posseting after feeds in a contented, growing baby
- CHiccups after feeds that settle on their own
- DPoor weight gain, refusing feeds and blood in the vomit
8.Hard
A child with nephrotic syndrome develops a painful, swollen leg. What should the nurse suspect?
- ADeep vein thrombosis
- BOrdinary oedema from the illness
- CA muscle strain from walking
- DAn allergic reaction to steroids
Answer key
- 1. D · Between about 6 months and 5 years
- 2. B · A lack of surfactant in the immature lungs
- 3. C · About 24 to 40 breaths per minute
- 4. D · Now, according to the baby's chronological age
- 5. B · Keep giving insulin, check glucose and ketones more often and follow the sick-day plan
- 6. B · Treat the child and all close contacts at the same time, and wash bedding and clothes
- 7. D · Poor weight gain, refusing feeds and blood in the vomit
- 8. A · Deep vein thrombosis
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