1.Easy
At about what age do most children say their first meaningful words?
- AAbout 12 months
- BAbout 6 months
- CAbout 2 years
- DAbout 4 months
2.Easy
What is the most common cause of Down syndrome?
- AAn extra copy of chromosome 21 (trisomy 21)
- BA single gene inherited from both carrier parents
- CInfection with rubella in early pregnancy
- DA missing X chromosome in a girl
3.Easy
What do the letters of the FLACC pain scale stand for?
- AFlexion, Limb tone, Activity, Circulation, Cry
- BFace, Legs, Activity, Cry, Consolability
- CFever, Lethargy, Appetite, Colour, Crying
- DFacial expression, Language, Alertness, Comfort, Calmness
4.Medium
The nurse uses a blood pressure cuff that is too small for a child's arm. What effect will this have?
- AThe reading will be falsely low
- BThe reading will be accurate but slower to obtain
- CThe reading will be falsely high
- DThe cuff will not inflate at all
5.Medium
Which snack is safest for a 2-year-old?
- AWhole grapes from the fruit bowl
- BA small bowl of popcorn
- CA handful of whole peanuts
- DSmall pieces of soft cooked vegetables
6.Medium
Which statement about patient-controlled analgesia (PCA) for a child is correct?
- AParents should press the button whenever the child is asleep
- BOnly the child presses the button, unless a protocol says otherwise
- CThe nurse should press it every 5 minutes, day and night, to keep the pain away
- DAny visitor may press it if the child seems uncomfortable
7.Hard
A 4-year-old says it is wrong to hit his sister "because then I get a time-out". Which level of Kohlberg's moral development does this reflect?
- APreconventional level
- BFormal operational level
- CPostconventional level
- DConventional level
8.Hard
A 15-year-old boy with mumps develops a painful, swollen testis. What is the most likely explanation?
- AA late side effect of the MMR vaccine given in childhood
- BTesticular cancer unrelated to the infection
- CMumps orchitis, a known complication after puberty
- DAn inguinal hernia caused by coughing
Answer key
- 1. A · About 12 months
- 2. A · An extra copy of chromosome 21 (trisomy 21)
- 3. B · Face, Legs, Activity, Cry, Consolability
- 4. C · The reading will be falsely high
- 5. D · Small pieces of soft cooked vegetables
- 6. B · Only the child presses the button, unless a protocol says otherwise
- 7. A · Preconventional level
- 8. C · Mumps orchitis, a known complication after puberty
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