1.Easy
Which illness causes a bright red rash on both cheeks, often called "slapped cheek"?
- AScarlet fever (group A streptococcus)
- BFifth disease (parvovirus B19)
- CImpetigo (staphylococcus)
- DMeasles (rubeola virus)
2.Easy
Which is the most common congenital heart defect?
- ATetralogy of Fallot
- BVentricular septal defect
- CTransposition of the great arteries
- DCoarctation of the aorta
3.Easy
Where should eye drops be placed for a child?
- AOnto the upper eyelid while the eye is shut
- BDirectly onto the centre of the cornea
- CInto the inner corner of the eye
- DInto the pocket of the lower eyelid
4.Medium
A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?
- AInject an extra dose of insulin into the thigh just before he starts running
- BCheck glucose before playing and keep fast-acting carbohydrate at hand
- CAvoid sport, because exercise is unsafe with diabetes
- DSkip the meal before the match to avoid high glucose
5.Medium
Which signs suggest digoxin toxicity in a child?
- AIncreased appetite, extra energy and rapid weight gain over a few days
- BHigh fever with a spreading red rash
- CNausea, vomiting, poor feeding and a slow heart rate
- DFast heart rate with high blood pressure
6.Medium
How should a nurse prepare a 4-year-old for a procedure?
- AGive a detailed explanation a week in advance
- BExplain shortly beforehand in simple words, and let the child handle the equipment or play with a doll
- CExplain nothing to avoid frightening the child
- DShow diagrams of the internal organs
7.Hard
A 12-year-old with asthma has been prescribed a preventer inhaler (inhaled corticosteroid) to take every day. Which statement shows a need for further teaching?
- A"I stop taking my preventer inhaler whenever I've had a few good days."
- B"I carry my reliever inhaler with me everywhere I go."
- C"I rinse my mouth after using my preventer inhaler."
- D"I use my spacer with my inhaler, even at school."
8.Hard
A 10-year-old has vomiting, abdominal pain, deep rapid breathing and a fruity smell on the breath. His blood glucose is very high. What is the most likely diagnosis?
- AAcute asthma attack with hyperventilation
- BGastroenteritis
- CAppendicitis
- DDiabetic ketoacidosis
Answer key
- 1. B · Fifth disease (parvovirus B19)
- 2. B · Ventricular septal defect
- 3. D · Into the pocket of the lower eyelid
- 4. B · Check glucose before playing and keep fast-acting carbohydrate at hand
- 5. C · Nausea, vomiting, poor feeding and a slow heart rate
- 6. B · Explain shortly beforehand in simple words, and let the child handle the equipment or play with a doll
- 7. A · "I stop taking my preventer inhaler whenever I've had a few good days."
- 8. D · Diabetic ketoacidosis
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