1.Easy
Where is the pain of appendicitis typically felt once it has localised?
- AAround the left shoulder blade
- BIn the right lower abdomen
- CIn the left lower abdomen
- DIn the upper middle abdomen only
2.Easy
Which measure helps an infant with a cleft palate to feed?
- AA special bottle or teat, an upright position and frequent burping
- BFeeding only through a nasogastric tube until school age
- CFeeding lying flat to let gravity move the milk along
- DThickening every feed with baby cereal from birth onwards to slow the milk
3.Easy
What is the main cause of type 1 diabetes in children?
- AInsulin resistance caused mainly by obesity and inactivity
- BToo much insulin being produced by an overactive pancreas
- CAutoimmune destruction of the insulin-producing beta cells
- DA lack of glucagon from the alpha cells of the pancreas
4.Medium
How should a parent respond to a 2-year-old's temper tantrum in a safe place?
- AStay calm, keep the child safe and do not give in to the demand
- BSmack the child to show that tantrums are not allowed
- CShout loudly at the child to make the tantrum stop sooner
- DGive the child the sweet he wants so the tantrum stops
5.Medium
Which temperature is usually taken as fever in a child?
- A38.0 °C (100.4 °F) or higher
- B39.5 °C (103.1 °F) or higher
- C37.5 °C (99.5 °F) or higher
- D37.0 °C (98.6 °F) or higher
6.Medium
How is a child usually positioned for a lumbar puncture?
- AFlat on the back with the legs straight and a small pillow under the head
- BOn the side, curled up with knees drawn up and head bent forward
- CProne with a pillow under the chest
- DStanding and leaning against the wall
7.Hard
A 15-year-old with type 1 diabetes has lost weight, and her HbA1c has risen sharply. She admits to skipping insulin doses. What should the nurse consider?
- AWeight loss is a good sign of improved control, so her insulin dose can now be lowered further
- BShe simply needs a lower insulin dose
- CShe may be omitting insulin to lose weight, a form of disordered eating that needs assessment
- DThe glucose meter must be broken
8.Hard
A child with nephrotic syndrome develops a painful, swollen leg. What should the nurse suspect?
- ADeep vein thrombosis
- BAn allergic reaction to steroids
- CA muscle strain from walking
- DOrdinary oedema from the illness
Answer key
- 1. B · In the right lower abdomen
- 2. A · A special bottle or teat, an upright position and frequent burping
- 3. C · Autoimmune destruction of the insulin-producing beta cells
- 4. A · Stay calm, keep the child safe and do not give in to the demand
- 5. A · 38.0 °C (100.4 °F) or higher
- 6. B · On the side, curled up with knees drawn up and head bent forward
- 7. C · She may be omitting insulin to lose weight, a form of disordered eating that needs assessment
- 8. A · Deep vein thrombosis
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