1.Easy
According to Erikson, what is the developmental task of infancy (birth to about 1 year)?
- AIdentity versus role confusion
- BIntimacy versus isolation
- CTrust versus mistrust
- DAutonomy versus shame and doubt
2.Easy
Which four features make up tetralogy of Fallot?
- AVSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
- BVSD, mitral stenosis, coarctation of the aorta and an enlarged left atrium
- CASD, aortic stenosis, patent ductus arteriosus and left ventricular hypertrophy
- DPatent ductus arteriosus, VSD, ASD and transposition of the great arteries
3.Easy
Which five signs make up the Apgar score?
- AHeart rate, breathing effort, muscle tone, reflex response and colour
- BBreathing rate, blood glucose, length, muscle tone and cry
- COxygen saturation, temperature, reflexes, weight and feeding
- DHeart rate, blood pressure, temperature, weight and colour
4.Medium
A school-age child with asthma uses an inhaled corticosteroid every day. What should the nurse teach?
- ARinse the mouth after each dose and use a spacer
- BSwallow the powder with water
- CStop it as soon as symptoms improve
- DUse it only during an asthma attack
5.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 high
- CThe reading will be accurate but slower to obtain
- DThe reading will be falsely low
6.Medium
A child has tinea capitis (ringworm of the scalp). Which treatment is usually needed?
- AShaving the head, with no medicine
- BOral antibiotics such as amoxicillin
- CA topical antifungal cream alone
- DAn oral antifungal medicine
7.Hard
A child develops the "slapped cheek" rash of fifth disease. The parent asks whether the child is still infectious. What is the best answer?
- AYes, until every trace of the rash has faded from the cheeks and limbs
- BYes, for 6 weeks after the rash appears
- CUsually not; the child was most infectious before the rash appeared
- DThe illness is not infectious at any stage
8.Hard
A 7-year-old has a high fever, refuses to bear weight and has a warm, very tender area over the lower tibia. Which plan is most likely?
- ABlood cultures and prompt IV antibiotics for possible osteomyelitis
- BA plaster cast and discharge home the same day
- CMassage and physiotherapy to loosen the muscle
- DRest, ice and an elastic bandage for a sprained ankle, with review in a week
Answer key
- 1. C · Trust versus mistrust
- 2. A · VSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy
- 3. A · Heart rate, breathing effort, muscle tone, reflex response and colour
- 4. A · Rinse the mouth after each dose and use a spacer
- 5. B · The reading will be falsely high
- 6. D · An oral antifungal medicine
- 7. C · Usually not; the child was most infectious before the rash appeared
- 8. A · Blood cultures and prompt IV antibiotics for possible osteomyelitis
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