1.Easy
Why are children with spina bifida often cared for with latex-free equipment?
- ALatex causes neural tube defects
- BThey have a high risk of latex allergy
- CLatex damages the skin over the spine
- DLatex particles can block the shunt in the brain
2.Easy
According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?
- AIndustry versus inferiority
- BTrust versus mistrust
- CInitiative versus guilt
- DIntimacy versus isolation
3.Easy
Where should a healthcare provider check for a pulse in an unresponsive infant?
- AThe temporal artery
- BThe carotid artery
- CThe radial artery
- DThe brachial artery
4.Medium
In a child with hypovolaemic shock, which finding is usually a late sign?
- ATachycardia
- BLow blood pressure
- CProlonged capillary refill
- DCool extremities
5.Medium
Which task can the registered nurse delegate to a healthcare assistant (nursing assistant) on a children's ward?
- ATeaching a parent how to give insulin injections
- BCarrying out the admission assessment of a new patient
- CMeasuring and recording the vital signs of a stable child
- DAssessing pain after surgery and choosing the analgesia
6.Medium
Which drink is best for a child with mild dehydration from gastroenteritis?
- AOral rehydration solution
- BCola or other fizzy drinks
- CUndiluted apple juice
- DSports drinks
7.Hard
An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?
- AWorsening heart failure with fluid retention
- BDehydration due to sweating during feeds
- CGood growth thanks to improved feeding
- DAn allergic reaction to the new high-energy formula started yesterday
8.Hard
The parents of a 5-year-old refuse a life-saving blood transfusion for religious reasons. What generally happens?
- AThe team must withhold it, because parents always have the final say in every case
- BThe nurse gives the transfusion secretly while the parents are out of the room, to save time
- CRespect beliefs where possible, explore alternatives and seek legal authority if needed
- DThe team waits until the child is old enough to make the decision for himself
Answer key
- 1. B · They have a high risk of latex allergy
- 2. C · Initiative versus guilt
- 3. D · The brachial artery
- 4. B · Low blood pressure
- 5. C · Measuring and recording the vital signs of a stable child
- 6. A · Oral rehydration solution
- 7. A · Worsening heart failure with fluid retention
- 8. C · Respect beliefs where possible, explore alternatives and seek legal authority if needed
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