1.Easy
What is a greenstick fracture?
- AA fracture in which the bone shatters into many pieces
- BA fracture that passes through a joint surface only
- CAn incomplete fracture in which the bone bends and cracks on one side
- DA fracture in which the broken bone ends push out through the skin
2.Easy
The nurse strokes the sole of a 6-month-old's foot and the toes fan out with the big toe extending. What does this mean?
- AIt is a normal finding at this age
- BIt shows brain damage and needs a scan
- CIt is a sign of spinal cord compression
- DIt shows the baby is in pain
3.Easy
What is the main cause of type 1 diabetes in children?
- AA lack of glucagon from the alpha cells of the pancreas
- BToo much insulin being produced by an overactive pancreas
- CAutoimmune destruction of the insulin-producing beta cells
- DInsulin resistance caused mainly by obesity and inactivity
4.Medium
What is a normal capillary refill time in a child?
- A5 seconds or less
- B8 to 10 seconds
- C15 to 20 seconds
- D2 seconds or less
5.Medium
Which medicine may be used to close a patent ductus arteriosus in a preterm baby?
- AIbuprofen or indomethacin
- BProstaglandin E1
- CIntravenous furosemide infusion
- DSalbutamol
6.Medium
What is the purpose of grommets (tympanostomy tubes) in a child with repeated middle ear problems?
- ATo widen the outer ear canal and reduce the build-up of wax
- BTo give antibiotics directly into the inner ear
- CTo replace the damaged eardrum permanently
- DTo ventilate the middle ear and let fluid drain
7.Hard
A 7-year-old with an asthma attack was wheezing loudly but is now quiet, drowsy and has very reduced air entry. What does this indicate?
- AA good response to the reliever inhaler, with the airways now opening up again
- BThe child is falling asleep normally
- CThe attack is resolving
- DA life-threatening deterioration with exhaustion and very poor air movement
8.Hard
Which child should the nurse assess first at the start of a shift?
- AA 4-year-old with gastroenteritis who is drinking oral rehydration solution
- BA 10-year-old with a leg cast who says it itches
- CA 2-year-old with bronchiolitis: respiratory rate 68/min and marked chest retractions
- DA 6-year-old after appendectomy with pain rated 4 out of 10
Answer key
- 1. C · An incomplete fracture in which the bone bends and cracks on one side
- 2. A · It is a normal finding at this age
- 3. C · Autoimmune destruction of the insulin-producing beta cells
- 4. D · 2 seconds or less
- 5. A · Ibuprofen or indomethacin
- 6. D · To ventilate the middle ear and let fluid drain
- 7. D · A life-threatening deterioration with exhaustion and very poor air movement
- 8. C · A 2-year-old with bronchiolitis: respiratory rate 68/min and marked chest retractions
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