1.Easy
At about what age do most children begin to walk without support?
- AAbout 6 months
- BAbout 2 years in most children, within a typical range of 18 to 30 months
- CAbout 3 years
- DAbout 12 months, within a typical range of about 9 to 15 months
2.Easy
Which respiratory rate range is typical for a healthy toddler (about 1 to 3 years) at rest?
- AAbout 12 to 16 breaths per minute
- BAbout 24 to 40 breaths per minute
- CAbout 6 to 10 breaths per minute
- DAbout 60 to 80 breaths per minute
3.Easy
What does the HbA1c blood test show in a child with diabetes?
- AThe amount of insulin the pancreas is making on the day of the test
- BThe blood glucose at the exact moment of the test
- CThe average blood glucose over about the past 2–3 months
- DWhether ketones are present in the blood right now
4.Medium
Which statement about patient-controlled analgesia (PCA) for a child is correct?
- AThe nurse should press it every 5 minutes, day and night, to keep the pain away
- BParents should press the button whenever the child is asleep
- COnly the child presses the button, unless a protocol says otherwise
- DAny visitor may press it if the child seems uncomfortable
5.Medium
A 3-year-old who used to speak in short sentences has stopped talking and no longer responds to her name. What is the most important point?
- ALanguage develops in sudden spurts, so this is expected
- BIt means the child is tired and should be seen in a year
- CIt is normal regression at this age
- DLoss of previously gained skills at any age needs prompt assessment
6.Medium
The nurse uses a blood pressure cuff that is too small for a child's arm. What effect will this have?
- AThe cuff will not inflate at all
- BThe reading will be falsely low
- CThe reading will be accurate but slower to obtain
- DThe reading will be falsely high
7.Hard
A teenager with severe anorexia nervosa starts nutritional rehabilitation. Which blood result is most important to watch in the first days?
- ACholesterol
- BPhosphate
- CAmylase
- DBilirubin
8.Hard
A 7-year-old with an asthma attack was wheezing loudly but is now quiet, drowsy and has very reduced air entry. What does this indicate?
- AThe attack is resolving
- BA life-threatening deterioration with exhaustion and very poor air movement
- CThe child is falling asleep normally
- DA good response to the reliever inhaler, with the airways now opening up again
Answer key
- 1. D · About 12 months, within a typical range of about 9 to 15 months
- 2. B · About 24 to 40 breaths per minute
- 3. C · The average blood glucose over about the past 2–3 months
- 4. C · Only the child presses the button, unless a protocol says otherwise
- 5. D · Loss of previously gained skills at any age needs prompt assessment
- 6. D · The reading will be falsely high
- 7. B · Phosphate
- 8. B · A life-threatening deterioration with exhaustion and very poor air movement
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