1.Easy
Which supplement, taken before conception and in early pregnancy, reduces the risk of spina bifida?
- ACalcium carbonate
- BVitamin C
- CIron
- DFolic acid
2.Easy
What is the first-line treatment for anaphylaxis in a child?
- AOral paracetamol (acetaminophen)
- BIM adrenaline (epinephrine)
- CAn inhaled corticosteroid via a spacer
- DAn oral antihistamine
3.Easy
How is Duchenne muscular dystrophy inherited?
- AIt is not inherited and is caused by an infection
- BAutosomal recessive, mainly affecting girls
- CAutosomal dominant, affecting both sexes equally
- DX-linked recessive, so it mainly affects boys
4.Medium
Which finding is expected in a healthy 4-month-old?
- APulls to stand while holding on to furniture
- BHolds the head steady when held upright, with little or no head lag
- CSits steadily without support for several minutes while playing with toys
- DSays two or three clear words with meaning
5.Medium
Why should a child with diabetes rotate insulin injection sites?
- ATo make sure each part of the body gets the same amount of insulin
- BBecause the same site causes an allergy to insulin
- CTo prevent lumpy fatty areas that absorb insulin unpredictably
- DTo stop the insulin from becoming less effective over the years
6.Medium
Which finding suggests coarctation of the aorta?
- AA barking cough
- BEqual blood pressure in all limbs
- CStrong femoral pulses with weak arm pulses and lower blood pressure in the arms
- DHigher blood pressure in the arms than in the legs, with weak femoral pulses
7.Hard
A child with a central venous catheter for chemotherapy develops fever and rigors shortly after the line is flushed. What should the nurse suspect?
- AAn allergy to the saline flush
- BA catheter-related bloodstream infection
- CA blocked line that needs more forceful flushing
- DA normal reaction to the chemotherapy
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
- BPostconventional level
- CFormal operational level
- DPreconventional level
Answer key
- 1. D · Folic acid
- 2. B · IM adrenaline (epinephrine)
- 3. D · X-linked recessive, so it mainly affects boys
- 4. B · Holds the head steady when held upright, with little or no head lag
- 5. C · To prevent lumpy fatty areas that absorb insulin unpredictably
- 6. D · Higher blood pressure in the arms than in the legs, with weak femoral pulses
- 7. B · A catheter-related bloodstream infection
- 8. D · Preconventional level
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