1.Easy
What is usually the greatest stressor for a hospitalised toddler?
- ASeparation from parents
- BMissing school
- CFear of death
- DChanges in appearance
2.Easy
What is the Ortolani test used to detect in a newborn?
- ACongenital heart disease
- BHearing loss
- CDevelopmental dysplasia of the hip
- DClubfoot (talipes)
3.Easy
How do most preschool children understand death?
- AAs an abstract idea they can discuss in depth
- BAs a purely biological process, explained by science
- CAs temporary or reversible, like being asleep or away
- DAs permanent and something that will happen to everyone
4.Medium
Which signs in a 2-day-old baby suggest sepsis?
- ARegular feeding with six wet nappies a day
- BHiccups after feeds with a strong, lusty cry between feeds
- CUnstable temperature, poor feeding, lethargy and breathing difficulty
- DSmall white spots on the nose and a pink face
5.Medium
Which defect classically causes a continuous "machinery" murmur?
- AAtrial septal defect
- BIsolated pulmonary stenosis with an intact ventricular septum
- CTetralogy of Fallot
- DPatent ductus arteriosus
6.Medium
A 6-month-old's left eye turns inwards all the time. What should the nurse do?
- ARefer the baby to an eye specialist
- BReassure the parents that this always resolves by school age
- CAdvise them to wait until the child can read letters
- DCover the right eye with a patch at home without review
7.Hard
A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?
- AHigh potassium, high phosphate, high uric acid and low calcium
- BLow haemoglobin and low platelets with a normal potassium
- CLow potassium, low phosphate, low uric acid and high calcium
- DHigh sodium, high glucose, low albumin and low urea
8.Hard
An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?
- APromise to keep the secret, so that she keeps trusting the nurse and tells more later
- BPhone the uncle straight away to ask for his side of the story before reporting anything
- CAsk detailed, leading questions to find out exactly what happened
- DListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
Answer key
- 1. A · Separation from parents
- 2. C · Developmental dysplasia of the hip
- 3. C · As temporary or reversible, like being asleep or away
- 4. C · Unstable temperature, poor feeding, lethargy and breathing difficulty
- 5. D · Patent ductus arteriosus
- 6. A · Refer the baby to an eye specialist
- 7. A · High potassium, high phosphate, high uric acid and low calcium
- 8. D · Listen calmly, praise her for telling, explain it must be shared, and follow safeguarding
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