1.Easy
At which times after birth is the Apgar score routinely assessed?
- AAt 1 minute and at 5 minutes
- BAt 10 minutes and at 30 minutes
- COnly once, at 24 hours of age
- DAt birth and again at 1 hour
2.Easy
Which type of play, with shared goals, rules and roles, is typical of school-age children?
- AOnlooker play
- BCooperative play
- CSolitary play
- DParallel play
3.Easy
Which symptoms are classic for new type 1 diabetes in a child?
- AA barking cough, fever and a hoarse voice
- BThirst, frequent urination, weight loss and tiredness
- CWeight gain, feeling cold and long-standing constipation
- DJoint pain, a rash on the face and hair loss
4.Medium
Which non-drug measure reduces procedural pain in newborns, for example during a heel prick?
- ALeaving the baby alone in the cot
- BBreastfeeding, skin-to-skin contact or oral sucrose
- CCold water on the heel before the prick
- DWaiting until the baby is asleep, without any other comfort
5.Medium
Which finding may suggest that a school-age child is being bullied?
- ANot wanting to go to school, lost belongings and frequent stomach aches
- BArguing with a sibling about the TV remote
- CWanting to collect trading cards and play team games with classmates
- DEnjoying school clubs and inviting friends home
6.Medium
A child with a known peanut allergy is starting school. What is the most important step?
- AAllowing the child to eat only foods brought by classmates
- BA written allergy action plan, with in-date auto-injectors and trained staff
- CAsking the child to tell the teachers if she feels unwell
- DKeeping the auto-injector at home, so that it cannot be lost or misused by other children
7.Hard
During treatment for diabetic ketoacidosis, a 9-year-old becomes irritable, complains of a headache and then becomes drowsy. What should the nurse suspect?
- ANormal tiredness after treatment
- BCerebral oedema, an emergency
- CThe child is hungry
- DHypoglycaemia caused by the fluids
8.Hard
A child on chemotherapy for leukaemia was in close contact with a classmate who has chickenpox. What should the nurse do?
- ATell the oncology team at once, as preventive treatment may be needed
- BGive the live varicella vaccine to the child that same day to boost immunity
- CWait to see whether a rash develops before acting
- DReassure the family, as chickenpox is mild in all children
Answer key
- 1. A · At 1 minute and at 5 minutes
- 2. B · Cooperative play
- 3. B · Thirst, frequent urination, weight loss and tiredness
- 4. B · Breastfeeding, skin-to-skin contact or oral sucrose
- 5. A · Not wanting to go to school, lost belongings and frequent stomach aches
- 6. B · A written allergy action plan, with in-date auto-injectors and trained staff
- 7. B · Cerebral oedema, an emergency
- 8. A · Tell the oncology team at once, as preventive treatment may be needed
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