1.Easy
Which congenital heart defect causes cyanosis?
- AAtrial septal defect
- BTransposition of the great arteries
- CPatent ductus arteriosus
- DSmall ventricular septal defect with a left-to-right shunt
2.Easy
Which simple test is used to screen for scoliosis?
- ARomberg test with the eyes closed
- BBabinski test
- COrtolani test
- DAdams forward bend test
3.Easy
Which measure is a mainstay of daily eczema care?
- AApplying emollients generously and often, even when the skin looks clear
- BApplying emollients only when the skin is very inflamed
- CTaking long, hot baths with bubble bath every evening
- DUsing perfumed soap twice a day to remove bacteria from the skin surface
4.Medium
What should the nurse do before giving a dose of digoxin to an infant?
- AMeasure the temperature and give the dose only if there is no fever
- BMeasure the blood pressure and give the dose only if it is above the normal range
- CCount the radial pulse for 15 seconds and multiply by four
- DCount the apical pulse for a full minute and check it against the prescribed limits
5.Medium
Which is the main modifiable risk factor for type 2 diabetes in adolescents?
- AA family history of diabetes
- BObesity with low physical activity
- CBeing of a particular ethnic background
- DA viral infection in early childhood
6.Medium
Which finding at a 2-year check most needs a speech and language referral?
- AThe child uses about 50 words or more
- BThe child prefers to play beside other toddlers
- CThe child is not yet combining any two words
- DThe child says "no" to most suggestions
7.Hard
A child with eczema suddenly develops clusters of painful, punched-out blisters and erosions with a fever. What should the nurse suspect?
- AAn allergic reaction to the emollient
- BA normal eczema flare that needs more emollient
- CChickenpox, which is mild and needs no specific treatment
- DEczema herpeticum, which needs urgent antiviral treatment
8.Hard
Which finding in an infant with diarrhoea suggests the most severe dehydration?
- AA mild decrease in appetite
- BLethargy, a capillary refill of 4 seconds and no wet nappy for 10 hours
- CA normal fontanelle, moist mucous membranes and 4 wet nappies so far today
- DSlightly dry lips and thirst
Answer key
- 1. B · Transposition of the great arteries
- 2. D · Adams forward bend test
- 3. A · Applying emollients generously and often, even when the skin looks clear
- 4. D · Count the apical pulse for a full minute and check it against the prescribed limits
- 5. B · Obesity with low physical activity
- 6. C · The child is not yet combining any two words
- 7. D · Eczema herpeticum, which needs urgent antiviral treatment
- 8. B · Lethargy, a capillary refill of 4 seconds and no wet nappy for 10 hours
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