1.Easy
How is congenital hypothyroidism treated?
- ARemoval of the thyroid gland in infancy
- BA single dose of radioactive iodine
- CAn iodine-free diet from birth
- DDaily levothyroxine, usually for life
2.Easy
Which chromosome pattern causes Turner syndrome?
- AAn extra copy of chromosome 21
- BAn extra X chromosome (47,XXY) in a boy
- CA single X chromosome (45,X) in a girl
- DAn extra copy of chromosome 18
3.Easy
Which is the most common type of cancer in children?
- AOsteosarcoma of the long bones
- BAcute lymphoblastic leukaemia
- CWilms tumour of the kidney
- DRetinoblastoma of the eye
4.Medium
A child with suspected appendicitis is waiting for surgery. Which action must the nurse avoid?
- ARegular pain assessment
- BKeeping the child nil by mouth
- CPutting a heat pad on the abdomen
- DGiving IV fluids as prescribed
5.Medium
When is airway clearance (chest physiotherapy) best done for a child with cystic fibrosis?
- AStraight after a large meal, when the child has more energy
- BBefore meals, or well after eating
- COnly on days when the child has a fever
- DOnly at bedtime, lying flat after the evening meal
6.Medium
When is the best time to tell a 2-year-old about an upcoming procedure?
- AJust before it happens, in simple, concrete words
- BAbout a week before, so there is time to get used to it
- CThe day before, with a detailed explanation
- DNot at all, to avoid upsetting the child beforehand
7.Hard
The nurse has taught the parents of a child with sickle cell disease. Which statement shows a need for further teaching?
- A"We'll call the hospital straight away if she has a fever."
- B"We'll dress her warmly before she goes out in cold weather."
- C"In summer she can drink less so she doesn't need the toilet at school."
- D"We'll learn how to feel her tummy for an enlarged spleen."
8.Hard
A 4-month-old is brought in drowsy and vomiting, with no visible injuries. Retinal haemorrhages are found. What should the nurse suspect?
- AMigraine
- BViral gastroenteritis
- CAbusive head trauma
- DNormal newborn retinal changes
Answer key
- 1. D · Daily levothyroxine, usually for life
- 2. C · A single X chromosome (45,X) in a girl
- 3. B · Acute lymphoblastic leukaemia
- 4. C · Putting a heat pad on the abdomen
- 5. B · Before meals, or well after eating
- 6. A · Just before it happens, in simple, concrete words
- 7. C · "In summer she can drink less so she doesn't need the toilet at school."
- 8. C · Abusive head trauma
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