1.Easy
Which sign suggests heart failure in an infant?
- ASweating and tiring during feeds
- BFeeding eagerly and finishing every bottle quickly
- CSlow breathing with long pauses
- DA slow heart rate at rest
2.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 average blood glucose over about the past 2–3 months
- CWhether ketones are present in the blood right now
- DThe blood glucose at the exact moment of the test
3.Easy
For which child is the FLACC scale most appropriate?
- AA 9-year-old who can use a numeric rating scale
- BA 14-year-old who can rate pain from 0 to 10
- CA 2-year-old who cannot yet describe pain
- DAn adult after surgery
4.Medium
A 16-year-old starts an SSRI antidepressant. What is especially important to monitor in the first weeks?
- AWeight gain of more than 10 kg in the first month
- BWorsening mood or new suicidal thoughts
- CA drop in the platelet count
- DA sudden rise in blood glucose
5.Medium
Which daily monitoring is most useful for a child with nephrotic syndrome?
- ABlood glucose before and after every meal
- BWeight and urine dipstick for protein
- CHead circumference and fontanelle tension
- DPeak flow and oxygen saturation every morning
6.Medium
A school-age child with asthma uses an inhaled corticosteroid every day. What should the nurse teach?
- ASwallow the powder with water
- BRinse the mouth after each dose and use a spacer
- CStop it as soon as symptoms improve
- DUse it only during an asthma attack
7.Hard
A 15-year-old boy with mumps develops a painful, swollen testis. What is the most likely explanation?
- AAn inguinal hernia caused by coughing
- BTesticular cancer unrelated to the infection
- CMumps orchitis, a known complication after puberty
- DA late side effect of the MMR vaccine given in childhood
8.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
- BUsually not; the child was most infectious before the rash appeared
- CThe illness is not infectious at any stage
- DYes, for 6 weeks after the rash appears
Answer key
- 1. A · Sweating and tiring during feeds
- 2. B · The average blood glucose over about the past 2–3 months
- 3. C · A 2-year-old who cannot yet describe pain
- 4. B · Worsening mood or new suicidal thoughts
- 5. B · Weight and urine dipstick for protein
- 6. B · Rinse the mouth after each dose and use a spacer
- 7. C · Mumps orchitis, a known complication after puberty
- 8. B · Usually not; the child was most infectious before the rash appeared
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