1.Easy
Which is the most common congenital heart defect?
- ACoarctation of the aorta
- BTransposition of the great arteries
- CTetralogy of Fallot
- DVentricular septal defect
2.Easy
By about what age does the Moro (startle) reflex normally disappear?
- AAbout 2 to 3 years
- BAbout 4 to 6 months
- CAbout 2 to 4 weeks
- DAbout 12 to 15 months
3.Easy
How do most preschool children understand death?
- AAs permanent and something that will happen to everyone
- BAs an abstract idea they can discuss in depth
- CAs temporary or reversible, like being asleep or away
- DAs a purely biological process, explained by science
4.Medium
Which statement about patient-controlled analgesia (PCA) for a child is correct?
- AThe nurse should press it every 5 minutes, day and night, to keep the pain away
- BParents should press the button whenever the child is asleep
- CAny visitor may press it if the child seems uncomfortable
- DOnly the child presses the button, unless a protocol says otherwise
5.Medium
In a child with hypovolaemic shock, which finding is usually a late sign?
- ACool extremities
- BTachycardia
- CLow blood pressure
- DProlonged capillary refill
6.Medium
Which is the main modifiable risk factor for type 2 diabetes in adolescents?
- ABeing of a particular ethnic background
- BA viral infection in early childhood
- CObesity with low physical activity
- DA family history of diabetes
7.Hard
A 4-year-old has had pallor, tiredness, bruising, bone pain and fevers for 3 weeks. What is the most important next step?
- AAn urgent full blood count to look for leukaemia
- BIron supplements for 3 months, then review
- CA course of antibiotics for a viral infection
- DReassurance that these are growing pains that will pass with time
8.Hard
A toddler with tetralogy of Fallot is crying hard and becomes deeply cyanotic and limp. What should the nurse do first?
- ALie the child flat with the legs raised to increase the return of blood to the heart
- BPlace the child in a knee–chest position, keep them calm and call for help
- CMeasure the head circumference
- DTake the child for a walk to calm down
Answer key
- 1. D · Ventricular septal defect
- 2. B · About 4 to 6 months
- 3. C · As temporary or reversible, like being asleep or away
- 4. D · Only the child presses the button, unless a protocol says otherwise
- 5. C · Low blood pressure
- 6. C · Obesity with low physical activity
- 7. A · An urgent full blood count to look for leukaemia
- 8. B · Place the child in a knee–chest position, keep them calm and call for help
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