1.Easy
What do Tanner stages describe?
- AThe stages of language development in infancy
- BThe stages of moral reasoning in children
- CThe stages of physical development during puberty
- DThe stages of grief that families go through after a death
2.Easy
How do most preschool children understand death?
- AAs a purely biological process, explained by science
- BAs an abstract idea they can discuss in depth
- CAs temporary or reversible, like being asleep or away
- DAs permanent and something that will happen to everyone
3.Easy
What is usually the greatest stressor for a hospitalised toddler?
- AChanges in appearance
- BFear of death
- CSeparation from parents
- DMissing school
4.Medium
How is threadworm (pinworm) infection usually confirmed?
- AA urine sample collected in the evening
- BA blood test for worm antibodies taken an hour after an evening meal
- CA tape test on the skin around the anus first thing in the morning
- DAn abdominal X-ray to look for the worms in the gut
5.Medium
A child with suspected measles is admitted. Which precaution is most important?
- ADroplet precautions in a shared bay
- BContact precautions only, with gloves
- CNo special precautions once the rash appears
- DAirborne precautions, ideally in a negative-pressure room
6.Medium
How is amblyopia (lazy eye) commonly treated in young children?
- APatching or blurring the stronger eye so the weaker eye works harder
- BWaiting until adulthood, when surgery can correct it
- CPatching the weaker eye so that it can rest and recover
- DEye exercises alone, without any glasses, drops or patches
7.Hard
A toddler with tetralogy of Fallot is crying hard and becomes deeply cyanotic and limp. What should the nurse do first?
- ALie the child flat with the legs raised to increase the return of blood to the heart
- BPlace the child in a knee–chest position, keep them calm and call for help
- CTake the child for a walk to calm down
- DMeasure the head circumference
8.Hard
A child with Hirschsprung disease awaiting surgery develops fever, explosive diarrhoea and a very swollen abdomen. What should the nurse suspect?
- AOveruse of laxatives at home
- BOrdinary viral gastroenteritis
- CThe disease has resolved itself
- DEnterocolitis, an emergency
Answer key
- 1. C · The stages of physical development during puberty
- 2. C · As temporary or reversible, like being asleep or away
- 3. C · Separation from parents
- 4. C · A tape test on the skin around the anus first thing in the morning
- 5. D · Airborne precautions, ideally in a negative-pressure room
- 6. A · Patching or blurring the stronger eye so the weaker eye works harder
- 7. B · Place the child in a knee–chest position, keep them calm and call for help
- 8. D · Enterocolitis, an emergency
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