1.Easy
Why should honey not be given to babies under 12 months?
- AIt causes tooth decay within days in a baby's new teeth
- BIt is too low in calories
- CIt causes jaundice
- DIt can contain spores that cause infant botulism
2.Easy
A 14-year-old is convinced that everyone at school notices her small pimple. Which concept describes this?
- AParallel play
- BSeparation anxiety
- CObject permanence
- DThe imaginary audience
3.Easy
At about what age can most infants sit steadily without support?
- AAbout 12 to 15 months
- BAbout 2 to 3 months
- CAbout 18 to 24 months
- DAbout 6 to 8 months
4.Medium
How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?
- AIt kills bacteria in the blood and prevents infections
- BIt increases fetal haemoglobin, which reduces sickling
- CIt replaces the missing clotting factors
- DIt removes extra iron after blood transfusions
5.Medium
A 2-year-old suddenly began coughing while eating peanuts. He now has a wheeze on one side of the chest only. What is most likely?
- AAn inhaled foreign body
- BBronchiolitis
- CViral croup
- DA first attack of asthma
6.Medium
A parent asks how to care for a child with mild croup at home. Which advice is correct?
- ALay the child flat in a cool room so the airway can relax
- BGive an over-the-counter cough syrup every hour until the barking cough stops
- CHold the child over a bowl of hot, steaming water to loosen the cough
- DKeep the child calm and upright, and get urgent help if there is noisy breathing at rest
7.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?
- APhone the uncle straight away to ask for his side of the story before reporting anything
- BPromise to keep the secret, so that she keeps trusting the nurse and tells more later
- CAsk detailed, leading questions to find out exactly what happened
- DListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
8.Hard
On day 5 of chickenpox, a child has a fever again, and one area of skin around some spots has become red, hot, swollen and very painful. What should the nurse suspect?
- AA secondary bacterial skin infection
- BNormal healing of chickenpox spots
- CA second attack of chickenpox caused by a different strain
- DAn allergy to calamine lotion
Answer key
- 1. D · It can contain spores that cause infant botulism
- 2. D · The imaginary audience
- 3. D · About 6 to 8 months
- 4. B · It increases fetal haemoglobin, which reduces sickling
- 5. A · An inhaled foreign body
- 6. D · Keep the child calm and upright, and get urgent help if there is noisy breathing at rest
- 7. D · Listen calmly, praise her for telling, explain it must be shared, and follow safeguarding
- 8. A · A secondary bacterial skin infection
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