1.Easy
Why are undescended testes (cryptorchidism) corrected surgically in early childhood?
- ABecause an undescended testis leads to kidney failure if left untreated
- BTo protect fertility and allow the testis to be checked for cancer
- CTo stop the testis from producing too much testosterone in puberty
- DBecause an undescended testis causes severe daily pain in infancy
2.Easy
According to Erikson, what is the developmental task of the school-age child (about 6 to 12 years)?
- ATrust versus mistrust
- BGenerativity versus stagnation
- CInitiative versus guilt
- DIndustry versus inferiority
3.Easy
Which respiratory rate range is normal for a healthy newborn at rest?
- AAbout 30 to 60 breaths per minute
- BAbout 20 to 25 breaths per minute
- CAbout 70 to 100 breaths per minute
- DAbout 12 to 20 breaths per minute
4.Medium
A child with suspected measles is admitted. Which precaution is most important?
- ANo special precautions once the rash appears
- BAirborne precautions, ideally in a negative-pressure room
- CDroplet precautions in a shared bay
- DContact precautions only, with gloves
5.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
6.Medium
Which instruction about a child's new plaster cast is correct?
- AKeep the limb raised and report increasing pain, numbness or pale or blue fingers
- BLet the child walk on a leg cast as soon as it is applied
- CPush a knitting needle inside the cast to scratch an itch
- DKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
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
- BA life-threatening deterioration with exhaustion and very poor air movement
- CThe attack is resolving
- DThe child is falling asleep normally
8.Hard
A child with sickle cell disease has new chest pain, cough, fever and an oxygen saturation of 90%. What should the nurse suspect?
- ANormal pain from a limb crisis
- BAcute chest syndrome, an emergency
- CAnxiety about being in hospital
- DA mild cold
Answer key
- 1. B · To protect fertility and allow the testis to be checked for cancer
- 2. D · Industry versus inferiority
- 3. A · About 30 to 60 breaths per minute
- 4. B · Airborne precautions, ideally in a negative-pressure room
- 5. B · Explain shortly beforehand in simple words, and let the child handle the equipment or play with a doll
- 6. A · Keep the limb raised and report increasing pain, numbness or pale or blue fingers
- 7. B · A life-threatening deterioration with exhaustion and very poor air movement
- 8. B · Acute chest syndrome, an emergency
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