1.Easy
What do the letters of the FLACC pain scale stand for?
- AFace, Legs, Activity, Cry, Consolability
- BFlexion, Limb tone, Activity, Circulation, Cry
- CFever, Lethargy, Appetite, Colour, Crying
- DFacial expression, Language, Alertness, Comfort, Calmness
2.Easy
Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?
- ABecause the spleen stops working
- BBecause the heart makes red blood cells
- CBecause of too much iron in the diet
- DTo compensate for chronic hypoxia
3.Easy
Which drug is used to keep the ductus arteriosus open in a newborn with a duct-dependent heart defect?
- AProstaglandin E1
- BIntravenous indomethacin
- CFurosemide
- DDigoxin
4.Medium
How should a parent respond to a 2-year-old's temper tantrum in a safe place?
- ASmack the child to show that tantrums are not allowed
- BStay calm, keep the child safe and do not give in to the demand
- CShout loudly at the child to make the tantrum stop sooner
- DGive the child the sweet he wants so the tantrum stops
5.Medium
A 6-year-old with a life-limiting illness asks the nurse, "Am I going to die?" What is the best response?
- AChange the subject quickly so the child is not upset
- BTell the child that only the doctor is allowed to talk about this subject with children
- CTell the child firmly that this will not happen
- DFind out what prompted the question, then answer honestly and simply, with the family
6.Medium
At about what age do most children understand that death is permanent and happens to everyone?
- AAbout 4 years
- BAbout 9 to 10 years
- CAbout 2 years
- DNot until about 18 years
7.Hard
After surgery, a 4-year-old lies very still, grimaces, has tense legs and moans. The FLACC score is 8. What should the nurse do?
- AAssume the child is tired and leave them to sleep
- BDistract the child with a game or video and give nothing else unless the child asks
- CGive the prescribed analgesia and reassess the pain after it has had time to work
- DWait until the child asks for pain relief
8.Hard
A 7-year-old has a fever, joint pain moving from joint to joint and a new heart murmur, three weeks after a sore throat. What should the nurse suspect?
- AKawasaki disease
- BAcute rheumatic fever
- CGrowing pains
- DJuvenile idiopathic arthritis with no link to the sore throat
Answer key
- 1. A · Face, Legs, Activity, Cry, Consolability
- 2. D · To compensate for chronic hypoxia
- 3. A · Prostaglandin E1
- 4. B · Stay calm, keep the child safe and do not give in to the demand
- 5. D · Find out what prompted the question, then answer honestly and simply, with the family
- 6. B · About 9 to 10 years
- 7. C · Give the prescribed analgesia and reassess the pain after it has had time to work
- 8. B · Acute rheumatic fever
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