1.Easy
How is sickle cell disease inherited?
- AAutosomal dominant
- BNot inherited; it is acquired
- CX-linked recessive
- DAutosomal recessive
2.Easy
What type of vaccine is the measles–mumps–rubella (MMR) vaccine?
- AA live attenuated vaccine
- BAn inactivated toxoid vaccine
- CAn mRNA vaccine
- DA conjugate polysaccharide vaccine
3.Easy
At about what age does a baby typically begin to smile socially in response to a familiar face?
- AAbout 6 months
- BAbout 2 weeks
- CAbout 2 months
- DAbout 9 months
4.Medium
Which instruction about a child's new plaster cast is correct?
- AKeep the limb raised and report increasing pain, numbness or pale or blue fingers
- BPush a knitting needle inside the cast to scratch an itch
- CLet the child walk on a leg cast as soon as it is applied
- DKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
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
- BTo stop the insulin from becoming less effective over the years
- CBecause the same site causes an allergy to insulin
- DTo prevent lumpy fatty areas that absorb insulin unpredictably
6.Medium
Which diet is usually recommended for a child with cystic fibrosis?
- AA low-protein diet to reduce the work of the pancreas
- BA low-salt diet to protect the heart and kidneys from damage later in life
- CA low-fat diet to reduce greasy stools and abdominal pain
- DA high-energy, high-fat diet with fat-soluble vitamin supplements
7.Hard
Which order should the nurse question for a child with neutropenia after chemotherapy?
- AMonitor the temperature by the axillary or oral route
- BPerform careful hand hygiene before every contact
- CReport a temperature of 38 °C or more immediately
- DMeasure the temperature rectally every 4 hours
8.Hard
A 6-year-old boy has had a limp and mild hip pain for several weeks. Imaging shows avascular necrosis of the femoral head. What is the diagnosis?
- ATransient synovitis
- BSlipped capital femoral epiphysis
- CDevelopmental dysplasia of the hip
- DLegg–Calvé–Perthes disease
Answer key
- 1. D · Autosomal recessive
- 2. A · A live attenuated vaccine
- 3. C · About 2 months
- 4. A · Keep the limb raised and report increasing pain, numbness or pale or blue fingers
- 5. D · To prevent lumpy fatty areas that absorb insulin unpredictably
- 6. D · A high-energy, high-fat diet with fat-soluble vitamin supplements
- 7. D · Measure the temperature rectally every 4 hours
- 8. D · Legg–Calvé–Perthes disease
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