1.Easy
What does the HbA1c blood test show in a child with diabetes?
- AWhether ketones are present in the blood right now
- BThe average blood glucose over about the past 2–3 months
- CThe blood glucose at the exact moment of the test
- DThe amount of insulin the pancreas is making on the day of the test
2.Easy
When should a child with cystic fibrosis take pancreatic enzyme capsules?
- AOnly when stools are loose
- BWith every meal and snack
- COn an empty stomach in the morning only
- DOnce a day at bedtime
3.Easy
Which drug reverses opioid-induced breathing depression?
- AAtropine
- BFlumazenil
- CNaloxone
- DGlucagon
4.Medium
A toddler with hand, foot and mouth disease refuses to drink because of painful mouth sores. What is the priority?
- ATreating the rash with steroid cream
- BPreventing hair loss
- CStarting antibiotics
- DPreventing dehydration
5.Medium
Which finding in a newborn suggests Hirschsprung disease?
- ABright yellow, loose stools
- BA barking cough
- CFailure to pass meconium within 48 hours of birth
- DProjectile vomiting at 4 weeks
6.Medium
Which drink is best for a child with mild dehydration from gastroenteritis?
- AUndiluted apple juice
- BOral rehydration solution
- CSports drinks
- DCola or other fizzy drinks
7.Hard
A toddler with tetralogy of Fallot is crying hard and becomes deeply cyanotic and limp. What should the nurse do first?
- APlace the child in a knee–chest position, keep them calm and call for help
- BLie the child flat with the legs raised to increase the return of blood to the heart
- CTake the child for a walk to calm down
- DMeasure the head circumference
8.Hard
An infant with heart failure is breathing fast and working hard. Which position helps most?
- AFlat on the back with the legs raised
- BLying flat on the left side only
- CProne with the head turned to the side
- DSemi-upright, with the head and chest raised
Answer key
- 1. B · The average blood glucose over about the past 2–3 months
- 2. B · With every meal and snack
- 3. C · Naloxone
- 4. D · Preventing dehydration
- 5. C · Failure to pass meconium within 48 hours of birth
- 6. B · Oral rehydration solution
- 7. A · Place the child in a knee–chest position, keep them calm and call for help
- 8. D · Semi-upright, with the head and chest raised
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