1.Easy
Which grains must a child with coeliac disease avoid?
- AQuinoa, maize and sorghum
- BWheat, barley and rye
- CBuckwheat, millet and rice
- DRice, maize and potato starch
2.Easy
How should jaundice that first appears within the first 24 hours of life be regarded?
- AAs pathological until proven otherwise; it needs prompt evaluation
- BAs normal physiological jaundice that needs no follow-up
- CAs breast milk jaundice that is best treated by stopping breastfeeding
- DAs harmless as long as the baby is feeding well
3.Easy
From about what age can whole cow's milk be given as a main drink?
- AAbout 3 months
- BAbout 12 months
- CAbout 6 months
- DNot until about 2 years
4.Medium
How should a nurse prepare a 4-year-old for a procedure?
- AExplain nothing to avoid frightening the child
- BExplain shortly beforehand in simple words, and let the child handle the equipment or play with a doll
- CShow diagrams of the internal organs
- DGive a detailed explanation a week in advance
5.Medium
A 3-year-old who used to speak in short sentences has stopped talking and no longer responds to her name. What is the most important point?
- ALanguage develops in sudden spurts, so this is expected
- BLoss of previously gained skills at any age needs prompt assessment
- CIt means the child is tired and should be seen in a year
- DIt is normal regression at this age
6.Medium
How should oral rehydration solution be given to a child with mild to moderate dehydration who is vomiting?
- AOnly after the vomiting has stopped for 24 hours, to avoid further losses
- BAs one large drink every few hours
- CIn small amounts, frequently, for example with a spoon or syringe
- DMixed with fruit juice to improve the taste
7.Hard
The parent of a child on chemotherapy calls to say the child has a temperature of 38.5 °C (101.3 °F). What is the correct advice?
- AGive a cool bath and keep the child at home
- BWait until the next clinic visit, as fever is common
- CGive paracetamol (acetaminophen) and call back if the fever lasts more than 2 days
- DBring the child to hospital straight away for assessment and IV antibiotics
8.Hard
The parents of a child who is being resuscitated ask to stay in the room. What is the best response?
- AAsk them to leave, because their presence always harms the team's work
- BAllow them to stay only if they help with the compressions
- CTell them to wait outside in the corridor until the resuscitation is over
- DAllow them to stay if they wish, with a staff member to support and explain
Answer key
- 1. B · Wheat, barley and rye
- 2. A · As pathological until proven otherwise; it needs prompt evaluation
- 3. B · About 12 months
- 4. B · Explain shortly beforehand in simple words, and let the child handle the equipment or play with a doll
- 5. B · Loss of previously gained skills at any age needs prompt assessment
- 6. C · In small amounts, frequently, for example with a spoon or syringe
- 7. D · Bring the child to hospital straight away for assessment and IV antibiotics
- 8. D · Allow them to stay if they wish, with a staff member to support and explain
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