1.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
- CA fracture that passes through a joint surface only
- DAn incomplete fracture in which the bone bends and cracks on one side
2.Easy
Which simple test is used to screen for scoliosis?
- AAdams forward bend test
- BRomberg test with the eyes closed
- CBabinski test
- DOrtolani test
3.Easy
Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?
- ABecause the spleen stops working
- BBecause of too much iron in the diet
- CTo compensate for chronic hypoxia
- DBecause the heart makes red blood cells
4.Medium
Which signs in a 2-day-old baby suggest sepsis?
- ASmall white spots on the nose and a pink face
- BRegular feeding with six wet nappies a day
- CHiccups after feeds with a strong, lusty cry between feeds
- DUnstable temperature, poor feeding, lethargy and breathing difficulty
5.Medium
Which signs suggest digoxin toxicity in a child?
- AFast heart rate with high blood pressure
- BNausea, vomiting, poor feeding and a slow heart rate
- CHigh fever with a spreading red rash
- DIncreased appetite, extra energy and rapid weight gain over a few days
6.Medium
Which daily monitoring is most useful for a child with nephrotic syndrome?
- AWeight and urine dipstick for protein
- BBlood glucose before and after every meal
- CPeak flow and oxygen saturation every morning
- DHead circumference and fontanelle tension
7.Hard
A 9-year-old with Down syndrome has new neck pain, clumsy walking and changes in bladder control. What should the nurse suspect?
- AThe normal low muscle tone of Down syndrome getting worse with age
- BGrowing pains in the legs
- CA simple urinary infection causing tiredness
- DAtlantoaxial instability with spinal cord compression
8.Hard
A school-age child is to have surgery. Which approach to preparation best fits this age?
- AExplain the procedure with simple diagrams, allow questions and involve the child in choices
- BUse only baby talk and toys meant for infants
- CDiscuss everything with the parents but not with the child, so that the child is not frightened
- DAvoid explaining because it will only cause fear
Answer key
- 1. D · An incomplete fracture in which the bone bends and cracks on one side
- 2. A · Adams forward bend test
- 3. C · To compensate for chronic hypoxia
- 4. D · Unstable temperature, poor feeding, lethargy and breathing difficulty
- 5. B · Nausea, vomiting, poor feeding and a slow heart rate
- 6. A · Weight and urine dipstick for protein
- 7. D · Atlantoaxial instability with spinal cord compression
- 8. A · Explain the procedure with simple diagrams, allow questions and involve the child in choices
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