1.Easy
Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?
- A2000 mL per day
- B1000 mL per day
- C500 mL per day
- D1500 mL per day
2.Easy
When can a child stop using a booster seat in the car?
- AAs soon as the child can fasten the seat belt alone
- BWhen the adult seat belt fits properly across the shoulder and upper thighs
- CWhen the child starts primary school and can sit still for a whole journey
- DAt 4 years of age, whatever the child's height
3.Easy
Which clotting factor is missing or low in haemophilia A?
- AFactor VII
- BFactor IX
- CFactor XIII
- DFactor VIII
4.Medium
Which finding in a newborn suggests Hirschsprung disease?
- AA barking cough
- BBright yellow, loose stools
- CProjectile vomiting at 4 weeks
- DFailure to pass meconium within 48 hours of birth
5.Medium
At about what age do most children understand that death is permanent and happens to everyone?
- AAbout 4 years
- BAbout 2 years
- CNot until about 18 years
- DAbout 9 to 10 years
6.Medium
Which defect classically causes a continuous "machinery" murmur?
- APatent ductus arteriosus
- BAtrial septal defect
- CTetralogy of Fallot
- DIsolated pulmonary stenosis with an intact ventricular septum
7.Hard
Which child is most appropriate to assign to a practical (enrolled) nurse?
- AA 5-year-old just back from tonsillectomy who keeps swallowing
- BA 9-year-old newly admitted with diabetic ketoacidosis on an insulin infusion
- CA 7-year-old 2 days after an appendicectomy, stable on oral analgesia
- DAn infant with bronchiolitis who needs more and more oxygen
8.Hard
Which long-term problems should be monitored in a child with a repaired cleft palate?
- AKidney function and blood pressure
- BMiddle ear infections, hearing, speech and teeth
- CGrowth hormone levels and puberty timing
- DBone density and fracture risk in the teenage years
Answer key
- 1. B · 1000 mL per day
- 2. B · When the adult seat belt fits properly across the shoulder and upper thighs
- 3. D · Factor VIII
- 4. D · Failure to pass meconium within 48 hours of birth
- 5. D · About 9 to 10 years
- 6. A · Patent ductus arteriosus
- 7. C · A 7-year-old 2 days after an appendicectomy, stable on oral analgesia
- 8. B · Middle ear infections, hearing, speech and teeth
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