1.Easy
According to Erikson, what is the developmental task of infancy (birth to about 1 year)?
- ATrust versus mistrust
- BAutonomy versus shame and doubt
- CIntimacy versus isolation
- DIdentity versus role confusion
2.Easy
What is the cause of Hirschsprung disease?
- AThickening of the muscle at the outlet of the stomach
- BOne part of the bowel telescoping into the next part
- CMissing nerve (ganglion) cells in part of the bowel
- DInflammation of the bowel lining after a viral infection
3.Easy
What is the Ortolani test used to detect in a newborn?
- ADevelopmental dysplasia of the hip
- BClubfoot (talipes)
- CHearing loss
- DCongenital heart disease
4.Medium
A child with suspected epiglottitis is drooling and sitting forward. Which action must be avoided?
- AKeeping the child with a parent
- BAllowing the child to sit in the position they choose
- CExamining the throat with a tongue depressor
- DCalling a team skilled in airway management
5.Medium
Which finding is an early sign of shock in a child?
- AA fast heart rate with a prolonged capillary refill
- BA warm, flushed child with a strong, bounding pulse
- CSlow, deep breathing with a normal heart rate
- DLow blood pressure with a slow heart rate and pauses in breathing
6.Medium
How should oral rehydration solution be given to a child with mild to moderate dehydration who is vomiting?
- AMixed with fruit juice to improve the taste
- BOnly after the vomiting has stopped for 24 hours, to avoid further losses
- CAs one large drink every few hours
- DIn small amounts, frequently, for example with a spoon or syringe
7.Hard
The nurse has taught the parents of a child with type 1 diabetes. Which statement shows a need for further teaching?
- A"We'll check her glucose before driving to her swimming lesson."
- B"For a low, I'll give her a chocolate bar, because it's the fastest sugar."
- C"We'll recheck her glucose about 15 minutes after treating a low."
- D"We'll give the school a copy of her hypo plan and glucagon."
8.Hard
A child with nephrotic syndrome is on high-dose corticosteroids. Which instruction is most important for the family?
- AReport fever or signs of infection promptly
- BGive live vaccines during treatment
- CStop the steroids suddenly when the oedema goes
- DEncourage a high-salt diet
Answer key
- 1. A · Trust versus mistrust
- 2. C · Missing nerve (ganglion) cells in part of the bowel
- 3. A · Developmental dysplasia of the hip
- 4. C · Examining the throat with a tongue depressor
- 5. A · A fast heart rate with a prolonged capillary refill
- 6. D · In small amounts, frequently, for example with a spoon or syringe
- 7. B · "For a low, I'll give her a chocolate bar, because it's the fastest sugar."
- 8. A · Report fever or signs of infection promptly
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