1.Easy
Bedwetting at night is usually not considered a problem needing treatment until about what age?
- AAbout 14 years
- BAbout 10 years
- CAbout 5 years
- DAbout 2 years
2.Easy
At about what age can most infants sit steadily without support?
- AAbout 12 to 15 months
- BAbout 18 to 24 months
- CAbout 6 to 8 months
- DAbout 2 to 3 months
3.Easy
Which supplement, taken before conception and in early pregnancy, reduces the risk of spina bifida?
- AIron
- BFolic acid
- CVitamin C
- DCalcium carbonate
4.Medium
Which stool pattern is typical of Hirschsprung disease in an older child?
- ANormal stools with occasional itching around the anus at night
- BChronic constipation with thin, ribbon-like, foul-smelling stools and distension
- CPale, bulky, fatty stools that float and are hard to flush, with a large appetite
- DFrequent bloody diarrhoea with fever after eating chicken
5.Medium
A child with a known egg allergy is due for an influenza vaccine. Which statement reflects most current guidance?
- AEgg allergy alone is generally no longer a reason to withhold influenza vaccination
- BThe child needs a skin test with the vaccine first
- CThe vaccine must never be given to anyone with egg allergy
- DThe child should receive half the dose on two separate days, with observation after each
6.Medium
How is threadworm (pinworm) infection usually confirmed?
- AA urine sample collected in the evening
- BA tape test on the skin around the anus first thing in the morning
- CA blood test for worm antibodies taken an hour after an evening meal
- DAn abdominal X-ray to look for the worms in the gut
7.Hard
A 9-year-old with Down syndrome has new neck pain, clumsy walking and changes in bladder control. What should the nurse suspect?
- AGrowing pains in the legs
- BA simple urinary infection causing tiredness
- CThe normal low muscle tone of Down syndrome getting worse with age
- DAtlantoaxial instability with spinal cord compression
8.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 blood glucose
- BThe baby's blood group
- CThe baby's serum bilirubin
- DThe baby's haemoglobin
Answer key
- 1. C · About 5 years
- 2. C · About 6 to 8 months
- 3. B · Folic acid
- 4. B · Chronic constipation with thin, ribbon-like, foul-smelling stools and distension
- 5. A · Egg allergy alone is generally no longer a reason to withhold influenza vaccination
- 6. B · A tape test on the skin around the anus first thing in the morning
- 7. D · Atlantoaxial instability with spinal cord compression
- 8. A · The baby's blood glucose
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