1.Easy
Where does neuroblastoma most often start?
- AIn the bone marrow of the pelvis
- BIn the adrenal gland
- CIn the white matter of the brain
- DIn the lining of the bladder
2.Easy
Which clotting factor is missing or low in haemophilia A?
- AFactor IX
- BFactor VIII
- CFactor XIII
- DFactor VII
3.Easy
What is the purpose of newborn blood spot screening, for example for phenylketonuria?
- ATo test for infections caught during birth
- BTo detect treatable disorders early, before symptoms appear
- CTo find the baby's blood group for transfusion
- DTo measure the baby's iron stores
4.Medium
A baby was born at 29 weeks and is now 2 months old. When should the routine 2-month vaccines be given?
- AOnly after the first birthday
- BOnly after the baby weighs 5 kg
- CNow, according to the baby's chronological age
- DOnly when the baby reaches 2 months corrected age
5.Medium
How is amblyopia (lazy eye) commonly treated in young children?
- AWaiting until adulthood, when surgery can correct it
- BPatching or blurring the stronger eye so the weaker eye works harder
- CPatching the weaker eye so that it can rest and recover
- DEye exercises alone, without any glasses, drops or patches
6.Medium
A 9-month-old has episodes of severe crying with knees drawn up, and passes a stool that looks like red-currant jelly. What is the likely cause?
- APyloric stenosis
- BCoeliac disease
- CIntussusception
- DConstipation
7.Hard
Which child should the nurse assess first at the start of a shift?
- AA 4-year-old with gastroenteritis who is drinking oral rehydration solution
- BA 2-year-old with bronchiolitis: respiratory rate 68/min and marked chest retractions
- CA 6-year-old after appendectomy with pain rated 4 out of 10
- DA 10-year-old with a leg cast who says it itches
8.Hard
How is pain best assessed in a 10-year-old with severe cerebral palsy who cannot speak?
- APain cannot be assessed, so analgesia is given only on request
- BOnly by checking whether the heart rate is above normal
- CWith a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues
- DWith a 0–10 numerical scale, by asking the child to point to a number on a printed chart
Answer key
- 1. B · In the adrenal gland
- 2. B · Factor VIII
- 3. B · To detect treatable disorders early, before symptoms appear
- 4. C · Now, according to the baby's chronological age
- 5. B · Patching or blurring the stronger eye so the weaker eye works harder
- 6. C · Intussusception
- 7. B · A 2-year-old with bronchiolitis: respiratory rate 68/min and marked chest retractions
- 8. C · With a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues
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