1.Easy
Which resting heart rate range is typical for a school-age child (about 6 to 12 years)?
- AAbout 120 to 170 beats per minute
- BAbout 70 to 120 beats per minute
- CAbout 150 to 200 beats per minute
- DAbout 40 to 60 beats per minute
2.Easy
Which hygiene advice helps prevent urinary tract infections in girls?
- ATake a long bubble bath every evening before bed
- BWipe from front to back after using the toilet
- CWear tight nylon underwear and leggings
- DHold urine in for as long as possible
3.Easy
What is the most common cause of bronchiolitis in infants?
- AGroup A streptococcus
- BHaemophilus influenzae type b
- CRespiratory syncytial virus (RSV)
- DStaphylococcus aureus
4.Medium
In a large ventricular septal defect, in which direction does blood mainly flow through the defect?
- AFrom right to left, causing cyanosis from birth
- BFrom left to right, increasing blood flow to the lungs
- CThere is no flow at all, because the pressures in both ventricles are always equal
- DFrom the aorta into the pulmonary veins
5.Medium
A child with a known peanut allergy is starting school. What is the most important step?
- AAsking the child to tell the teachers if she feels unwell
- BKeeping the auto-injector at home, so that it cannot be lost or misused by other children
- CA written allergy action plan, with in-date auto-injectors and trained staff
- DAllowing the child to eat only foods brought by classmates
6.Medium
A child is due several different vaccines at the same visit. What is the general principle?
- AThey can be given at the same visit, at separate injection sites
- BAll vaccines should be mixed in one syringe
- CThe child should be given half doses of each, spread across several weeks
- DOnly one vaccine may be given per month
7.Hard
Two children with cystic fibrosis are admitted to the same ward. Which precaution is important?
- AKeep them apart, not sharing rooms, equipment or play areas
- BLet them share airway clearance equipment to save resources
- CPut them in the same room so they can support each other
- DAsk them to do their daily physiotherapy sessions together in the playroom
8.Hard
A child with nephrotic syndrome develops a painful, swollen leg. What should the nurse suspect?
- AA muscle strain from walking
- BOrdinary oedema from the illness
- CAn allergic reaction to steroids
- DDeep vein thrombosis
Answer key
- 1. B · About 70 to 120 beats per minute
- 2. B · Wipe from front to back after using the toilet
- 3. C · Respiratory syncytial virus (RSV)
- 4. B · From left to right, increasing blood flow to the lungs
- 5. C · A written allergy action plan, with in-date auto-injectors and trained staff
- 6. A · They can be given at the same visit, at separate injection sites
- 7. A · Keep them apart, not sharing rooms, equipment or play areas
- 8. D · Deep vein thrombosis
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