1.Easy
At about what age can most infants sit steadily without support?
- AAbout 2 to 3 months
- BAbout 6 to 8 months
- CAbout 18 to 24 months
- DAbout 12 to 15 months
2.Easy
What is a greenstick fracture?
- AA fracture in which the broken bone ends push out through the skin
- BAn incomplete fracture in which the bone bends and cracks on one side
- CA fracture that passes through a joint surface only
- DA fracture in which the bone shatters into many pieces
3.Easy
According to Erikson, what is the main developmental task of a toddler (about 1 to 3 years)?
- AInitiative versus guilt
- BTrust versus mistrust
- CAutonomy versus shame and doubt
- DIndustry versus inferiority
4.Medium
Which statement reflects current guidance about introducing allergenic foods, such as egg and peanut, to infants?
- AThey should be given from 6 weeks, mixed into the baby's milk
- BThey should be avoided until at least 3 years of age, because early contact is what causes most food allergies
- CThey should only be given after a skin prick test in every infant
- DThey can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
5.Medium
Which is the most accurate way to monitor fluid status in an infant with gastroenteritis?
- ADaily weight on the same scale, together with wet nappy counts
- BMeasuring head circumference
- CAsking the parent each day whether the child seems thirsty or tired
- DChecking hair texture
6.Medium
Why is hearing screening done in the newborn period?
- AEarly detection allows support that protects language development
- BTo check whether the baby will need glasses later in childhood
- CTo diagnose ear infections before discharge
- DBecause hearing loss always causes balance problems
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?
- AAtlantoaxial instability with spinal cord compression
- BThe normal low muscle tone of Down syndrome getting worse with age
- CA simple urinary infection causing tiredness
- DGrowing pains in the legs
8.Hard
A 4-year-old says it is wrong to hit his sister "because then I get a time-out". Which level of Kohlberg's moral development does this reflect?
- AConventional level
- BFormal operational level
- CPreconventional level
- DPostconventional level
Answer key
- 1. B · About 6 to 8 months
- 2. B · An incomplete fracture in which the bone bends and cracks on one side
- 3. C · Autonomy versus shame and doubt
- 4. D · They can be introduced from around 6 months as part of solids, and delaying them does not prevent allergy
- 5. A · Daily weight on the same scale, together with wet nappy counts
- 6. A · Early detection allows support that protects language development
- 7. A · Atlantoaxial instability with spinal cord compression
- 8. C · Preconventional level
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