1.Easy
Which pattern is typical of roseola infantum?
- AA rash that appears first, followed by a whole week of high fever and cough
- BA bright red rash on both cheeks, like a slap
- CHigh fever for a few days, then a pink rash as the fever settles
- DItchy blisters in crops that crust over within days
2.Easy
At about what age can most children hop on one foot?
- AAbout 18 months
- BAbout 2 years
- CAbout 4 years
- DAbout 8 years
3.Easy
Which hygiene advice helps prevent urinary tract infections in girls?
- AHold urine in for as long as possible
- BWear tight nylon underwear and leggings
- CWipe from front to back after using the toilet
- DTake a long bubble bath every evening before bed
4.Medium
A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?
- ABlood pressure, because the swelling causes hypertension
- BHead circumference twice daily, because it signals hydrocephalus
- CUrine colour, because the swelling causes kidney damage
- DJaundice, because the breakdown of the trapped blood adds to bilirubin
5.Medium
A 13-year-old with scoliosis has been prescribed a brace. Which teaching is most important?
- AWear it for the prescribed hours each day, with a thin cotton shirt underneath
- BWear it only at weekends and in the holidays, when it does not interfere with school
- CWear it over thick clothing to make it more comfortable
- DWear it only when the back hurts, then take it off
6.Medium
Which group of findings suggests Kawasaki disease?
- AFever with an itchy vesicular rash that starts on the trunk, spreads outwards and crusts over within days
- BHigh fever for 3 days, then a pink rash as the fever settles
- CFever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- DLow-grade fever, a barking cough and stridor that are worse at night
7.Hard
Which complication is a leading cause of death from measles in children?
- APneumonia
- BDiarrhoea
- COtitis media
- DConjunctivitis
8.Hard
A conscious 3-year-old is choking on food and cannot cough, cry or speak. What should the nurse do?
- ADo a blind finger sweep of the mouth to hook out the piece of food
- BWait to see if the child coughs it up
- CGive the child water to swallow
- DGive back blows and then abdominal thrusts, and call for help
Answer key
- 1. C · High fever for a few days, then a pink rash as the fever settles
- 2. C · About 4 years
- 3. C · Wipe from front to back after using the toilet
- 4. D · Jaundice, because the breakdown of the trapped blood adds to bilirubin
- 5. A · Wear it for the prescribed hours each day, with a thin cotton shirt underneath
- 6. C · Fever for at least 5 days, red eyes without discharge, cracked red lips and swollen hands and feet
- 7. A · Pneumonia
- 8. D · Give back blows and then abdominal thrusts, and call for help
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