1.Easy
In the UK, which method does NICE recommend for measuring the temperature of a baby under 4 weeks old?
- ARectal, with a glass mercury thermometer
- BAxillary, with an electronic thermometer
- CBy touching the forehead with a hand
- DOral, under the tongue
2.Easy
Which sweetener must children with phenylketonuria (PKU) avoid?
- AAspartame
- BFructose
- CGlucose
- DSucrose
3.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
- CPreferring to play next to other toddlers rather than with them
- DSaying "no" often and having tantrums at 2 years
4.Medium
Which finding suggests repeated self-induced vomiting?
- ACalluses on the knuckles and loss of tooth enamel
- BA butterfly rash on the cheeks and patchy hair loss
- CYellow skin, itching and dark urine
- DSwelling of the ankles and puffy eyes
5.Medium
Until when is a child with chickenpox usually considered infectious?
- AFor 6 weeks after the rash appears
- BUntil the fever has gone for 24 hours
- CUntil all the blisters have crusted over
- DOnly during the day before the rash appears
6.Medium
Which task can the registered nurse delegate to a healthcare assistant (nursing assistant) on a children's ward?
- AMeasuring and recording the vital signs of a stable child
- BAssessing pain after surgery and choosing the analgesia
- CCarrying out the admission assessment of a new patient
- DTeaching a parent how to give insulin injections
7.Hard
A 12-year-old with asthma has been prescribed a preventer inhaler (inhaled corticosteroid) to take every day. Which statement shows a need for further teaching?
- A"I carry my reliever inhaler with me everywhere I go."
- B"I use my spacer with my inhaler, even at school."
- C"I stop taking my preventer inhaler whenever I've had a few good days."
- D"I rinse my mouth after using my preventer inhaler."
8.Hard
A toddler has burns on both feet and the buttocks, with sharp "stocking" lines and no splash marks. What should the nurse consider?
- ASunburn from playing outside in a paddling pool on a hot day
- BA skin infection that looks like a burn
- CAn accidental spill from a cup of tea
- DPossible deliberate immersion; follow the safeguarding procedure
Answer key
- 1. B · Axillary, with an electronic thermometer
- 2. A · Aspartame
- 3. B · Not pointing to show interest and little eye contact by about 18 months
- 4. A · Calluses on the knuckles and loss of tooth enamel
- 5. C · Until all the blisters have crusted over
- 6. A · Measuring and recording the vital signs of a stable child
- 7. C · "I stop taking my preventer inhaler whenever I've had a few good days."
- 8. D · Possible deliberate immersion; follow the safeguarding procedure
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