1.Easy
What do the letters of the FLACC pain scale stand for?
- AFlexion, Limb tone, Activity, Circulation, Cry
- BFacial expression, Language, Alertness, Comfort, Calmness
- CFace, Legs, Activity, Cry, Consolability
- DFever, Lethargy, Appetite, Colour, Crying
2.Easy
Which early sign may suggest autism in a toddler?
- ABeing shy with strangers at 9 months
- BNot pointing to show interest and little eye contact by about 18 months
- CSaying "no" often and having tantrums at 2 years
- DPreferring to play next to other toddlers rather than with them
3.Easy
Which principle is central to family-centred care?
- AOnly staff make decisions about the child's care and treatment
- BVisiting is limited so the child can rest
- CParents should leave during all procedures
- DParents and family are partners in the child's care
4.Medium
When is airway clearance (chest physiotherapy) best done for a child with cystic fibrosis?
- AOnly on days when the child has a fever
- BBefore meals, or well after eating
- CStraight after a large meal, when the child has more energy
- DOnly at bedtime, lying flat after the evening meal
5.Medium
A child with type 1 diabetes is unconscious from hypoglycaemia at school. What should be done?
- ALet the child sleep and check again in an hour
- BGive glucagon and call emergency services
- CGive a glass of orange juice by mouth
- DGive the child's usual dose of insulin
6.Medium
Before surgery for a myelomeningocele, how should the newborn's sac be protected?
- ACover it with a sterile, moist, non-adherent dressing and position the baby prone
- BLeave it uncovered to dry
- CApply a tight dry bandage
- DLie the baby on the back with a soft ring around the sac to support it on the mattress
7.Hard
A large baby born to a mother with diabetes becomes jittery at 1 hour of age. What should the nurse check first?
- AThe baby's serum bilirubin
- BThe baby's blood glucose
- CThe baby's haemoglobin
- DThe baby's blood group
8.Hard
A 4-year-old says it is wrong to hit his sister "because then I get a time-out". Which level of Kohlberg's moral development does this reflect?
- APostconventional level
- BPreconventional level
- CConventional level
- DFormal operational level
Answer key
- 1. C · Face, Legs, Activity, Cry, Consolability
- 2. B · Not pointing to show interest and little eye contact by about 18 months
- 3. D · Parents and family are partners in the child's care
- 4. B · Before meals, or well after eating
- 5. B · Give glucagon and call emergency services
- 6. A · Cover it with a sterile, moist, non-adherent dressing and position the baby prone
- 7. B · The baby's blood glucose
- 8. B · Preconventional level
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