1.Easy
A 14-year-old is convinced that everyone at school notices her small pimple. Which concept describes this?
- AObject permanence
- BThe imaginary audience
- CSeparation anxiety
- DParallel play
2.Easy
Which food is a good source of iron for a toddler?
- APlain white rice and pasta
- BLarge amounts of cow's milk
- CLean red meat or iron-fortified cereal
- DApple juice with every meal
3.Easy
What is the most common cause of bronchiolitis in infants?
- AHaemophilus influenzae type b
- BStaphylococcus aureus
- CRespiratory syncytial virus (RSV)
- DGroup A streptococcus
4.Medium
A family has a 2-year-old. Which advice about medicines at home is best?
- ACall medicines "sweets" so the child is happy to take them
- BRely on child-resistant caps alone, since toddlers are not strong enough to open them
- CKeep daily medicines in a handbag so they are always at hand
- DLock all medicines away, out of reach and sight, in child-resistant containers
5.Medium
Which factors can trigger a sickle cell crisis?
- ADehydration, infection, cold and low oxygen
- BSleeping for long periods in a warm room
- CDrinking plenty of water during hot weather
- DEating a high-iron diet and taking daily multivitamins
6.Medium
Which finding at a 2-year check most needs a speech and language referral?
- AThe child prefers to play beside other toddlers
- BThe child is not yet combining any two words
- CThe child uses about 50 words or more
- DThe child says "no" to most suggestions
7.Hard
Two weeks after a ventriculoperitoneal shunt was inserted, an infant has a fever, irritability and redness along the shunt tract. What should the nurse suspect?
- ATeething, which explains the fever and the irritability
- BNormal healing; no action needed
- CAn allergy to the hospital soap
- DShunt infection; report it urgently
8.Hard
Which finding in a child with a ventriculoperitoneal shunt requires immediate follow-up?
- AHeadache, repeated vomiting and increasing drowsiness
- BNormal appetite and play
- CA healed scar along the shunt tract
- DA small, soft bump over the valve that is unchanged
Answer key
- 1. B · The imaginary audience
- 2. C · Lean red meat or iron-fortified cereal
- 3. C · Respiratory syncytial virus (RSV)
- 4. D · Lock all medicines away, out of reach and sight, in child-resistant containers
- 5. A · Dehydration, infection, cold and low oxygen
- 6. B · The child is not yet combining any two words
- 7. D · Shunt infection; report it urgently
- 8. A · Headache, repeated vomiting and increasing drowsiness
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