1.Easy
What is the most serious complication of Kawasaki disease?
- ACoronary artery aneurysms
- BKidney failure needing dialysis
- CPermanent hearing loss
- DDiabetes mellitus
2.Easy
What is a greenstick fracture?
- AA fracture in which the broken bone ends push out through the skin
- BA fracture in which the bone shatters into many pieces
- CAn incomplete fracture in which the bone bends and cracks on one side
- DA fracture that passes through a joint surface only
3.Easy
At about what age do most children begin to walk without support?
- AAbout 6 months
- BAbout 12 months, within a typical range of about 9 to 15 months
- CAbout 2 years in most children, within a typical range of 18 to 30 months
- DAbout 3 years
4.Medium
Which medicine may be used to close a patent ductus arteriosus in a preterm baby?
- AIbuprofen or indomethacin
- BSalbutamol
- CProstaglandin E1
- DIntravenous furosemide infusion
5.Medium
Which approach best helps a 4-year-old during a vaccination?
- APromise a reward only if the child stays completely still and does not cry
- BTell the child the injection will not hurt at all
- CHold the child upright on a parent's lap and use distraction, such as blowing bubbles
- DHave staff hold the child flat on the couch so the injection is quick
6.Medium
How should an infant with heart failure be fed?
- ALarge feeds every 6 hours so the baby can rest in between
- BLying flat on the back so the baby does not need to hold the head up
- CSmall, frequent feeds with rest breaks, using higher-energy milk if prescribed
- DStop the feed when the baby tires and wait until the next scheduled feed
7.Hard
The parents of a 9-year-old who wets the bed most nights have been punishing him. What is the best advice?
- AWake him every hour through the night and make him change his own sheets
- BWait, as no help is available until he is a teenager
- CStop punishing him, praise dry nights and consider a bedwetting alarm
- DStop all drinks after lunch and keep him in nappies
8.Hard
A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?
- ASet a strict timetable for him that staff decide without his input
- BAsk his parents to stay with him at all times and make decisions for him
- CMove him to a room with toddlers so the ward is less lonely
- DArrange contact with friends and let him control parts of his daily routine
Answer key
- 1. A · Coronary artery aneurysms
- 2. C · An incomplete fracture in which the bone bends and cracks on one side
- 3. B · About 12 months, within a typical range of about 9 to 15 months
- 4. A · Ibuprofen or indomethacin
- 5. C · Hold the child upright on a parent's lap and use distraction, such as blowing bubbles
- 6. C · Small, frequent feeds with rest breaks, using higher-energy milk if prescribed
- 7. C · Stop punishing him, praise dry nights and consider a bedwetting alarm
- 8. D · Arrange contact with friends and let him control parts of his daily routine
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