1.Easy
What happens in the rooting reflex of a newborn?
- AWhen the sole is stroked, the toes fan out
- BWhen the baby is startled, the arms fling outwards and then come together
- CWhen the palm is touched, the baby grasps the finger tightly and holds on
- DWhen the cheek is stroked, the baby turns towards the touch and opens the mouth
2.Easy
What causes scarlet fever?
- AGroup A streptococcus
- BVaricella-zoster virus
- CStaphylococcus epidermidis
- DHuman herpesvirus 6
3.Easy
What do Tanner stages describe?
- AThe stages of grief that families go through after a death
- BThe stages of language development in infancy
- CThe stages of physical development during puberty
- DThe stages of moral reasoning in children
4.Medium
A child with a known peanut allergy is starting school. What is the most important step?
- AA written allergy action plan, with in-date auto-injectors and trained staff
- BAsking the child to tell the teachers if she feels unwell
- CAllowing the child to eat only foods brought by classmates
- DKeeping the auto-injector at home, so that it cannot be lost or misused by other children
5.Medium
In acute post-streptococcal glomerulonephritis, which assessment is especially important?
- APeak flow
- BBlood glucose
- CBlood pressure
- DSerum bilirubin
6.Medium
Which presentation is typical of coeliac disease in a toddler some months after cereals are introduced?
- AEpisodes of crying with red-currant jelly stools
- BSudden projectile vomiting with a palpable olive-shaped mass
- CHigh fever with a stiff neck and a purple rash
- DChronic diarrhoea, a swollen abdomen, irritability and poor weight gain
7.Hard
A child on chemotherapy for leukaemia was in close contact with a classmate who has chickenpox. What should the nurse do?
- AReassure the family, as chickenpox is mild in all children
- BGive the live varicella vaccine to the child that same day to boost immunity
- CTell the oncology team at once, as preventive treatment may be needed
- DWait to see whether a rash develops before acting
8.Hard
Only one negative-pressure room is available. Which child should be placed in it?
- AA child with RSV bronchiolitis
- BA child with impetigo
- CA child with norovirus gastroenteritis and vomiting
- DA child with suspected measles
Answer key
- 1. D · When the cheek is stroked, the baby turns towards the touch and opens the mouth
- 2. A · Group A streptococcus
- 3. C · The stages of physical development during puberty
- 4. A · A written allergy action plan, with in-date auto-injectors and trained staff
- 5. C · Blood pressure
- 6. D · Chronic diarrhoea, a swollen abdomen, irritability and poor weight gain
- 7. C · Tell the oncology team at once, as preventive treatment may be needed
- 8. D · A child with suspected measles
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