1.Easy
What causes scarlet fever?
- AGroup A streptococcus
- BHuman herpesvirus 6
- CStaphylococcus epidermidis
- DVaricella-zoster virus
2.Easy
Which congenital heart defect causes cyanosis?
- ATransposition of the great arteries
- BAtrial septal defect
- CPatent ductus arteriosus
- DSmall ventricular septal defect with a left-to-right shunt
3.Easy
Which health problem is common in babies with Down syndrome and is looked for soon after birth?
- ACongenital heart defects
- BClubfoot on both sides
- CCataract only in old age
- DCleft lip and palate
4.Medium
A school-age child with asthma uses an inhaled corticosteroid every day. What should the nurse teach?
- AUse it only during an asthma attack
- BSwallow the powder with water
- CStop it as soon as symptoms improve
- DRinse the mouth after each dose and use a spacer
5.Medium
After a cardiac catheterisation through the femoral artery, which assessment is essential?
- ABowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
- BPupil size and reaction every 15 minutes
- CUrine specific gravity at every void
- DPulse, colour, warmth and sensation of the leg below the puncture site
6.Medium
What is "assent" in children's care?
- AThe legal consent signed by the parent for surgery
- BA form that lets the hospital treat any child without parental consent
- CThe child's agreement to care, sought alongside the parents' consent
- DThe doctor's decision about which treatment is best
7.Hard
The nurse has taught the parents of a child with type 1 diabetes. Which statement shows a need for further teaching?
- A"We'll check her glucose before driving to her swimming lesson."
- B"We'll give the school a copy of her hypo plan and glucagon."
- C"For a low, I'll give her a chocolate bar, because it's the fastest sugar."
- D"We'll recheck her glucose about 15 minutes after treating a low."
8.Hard
A 4-month-old is brought in drowsy and vomiting, with no visible injuries. Retinal haemorrhages are found. What should the nurse suspect?
- AViral gastroenteritis
- BMigraine
- CNormal newborn retinal changes
- DAbusive head trauma
Answer key
- 1. A · Group A streptococcus
- 2. A · Transposition of the great arteries
- 3. A · Congenital heart defects
- 4. D · Rinse the mouth after each dose and use a spacer
- 5. D · Pulse, colour, warmth and sensation of the leg below the puncture site
- 6. C · The child's agreement to care, sought alongside the parents' consent
- 7. C · "For a low, I'll give her a chocolate bar, because it's the fastest sugar."
- 8. D · Abusive head trauma
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