1.Easy
By about what age does the Moro (startle) reflex normally disappear?
- AAbout 4 to 6 months
- BAbout 2 to 3 years
- CAbout 2 to 4 weeks
- DAbout 12 to 15 months
2.Easy
According to Erikson, what is the developmental task of adolescence?
- AIndustry versus inferiority
- BIntegrity versus despair
- CAutonomy versus shame and doubt
- DIdentity versus role confusion
3.Easy
Which hygiene advice helps prevent urinary tract infections in girls?
- AWear tight nylon underwear and leggings
- BTake a long bubble bath every evening before bed
- CWipe from front to back after using the toilet
- DHold urine in for as long as possible
4.Medium
A breastfed infant has gastroenteritis with mild dehydration. What should the nurse advise?
- AGive nothing by mouth for 24 hours
- BStop breastfeeding until the diarrhoea has completely stopped, then restart slowly
- CContinue breastfeeding, and give oral rehydration solution as advised
- DGive diluted fruit juice instead of breast milk
5.Medium
Which finding at an 18-month check requires referral for developmental assessment?
- AThe child is afraid of strangers
- BThe child is not yet walking independently
- CThe child says only a few words
- DThe child plays alongside other children rather than with them
6.Medium
Which signs suggest a child is ready to start toilet training?
- AStaying dry for about 2 hours, showing interest and being able to follow simple instructions
- BReaching the first birthday and being able to walk, whether or not the child shows any interest
- CSaying the first word
- DBeing able to walk
7.Hard
An infant with a large VSD now breathes faster, sweats during feeds and has gained 300 g overnight with puffy eyelids. What does this most likely indicate?
- AWorsening heart failure with fluid retention
- BDehydration due to sweating during feeds
- CGood growth thanks to improved feeding
- DAn allergic reaction to the new high-energy formula started yesterday
8.Hard
A 25 kg child needs maintenance IV fluids. Using the 100–50–20 rule, what is the hourly rate?
- AAbout 67 mL per hour
- BAbout 25 mL per hour
- CAbout 104 mL per hour
- DAbout 50 mL per hour
Answer key
- 1. A · About 4 to 6 months
- 2. D · Identity versus role confusion
- 3. C · Wipe from front to back after using the toilet
- 4. C · Continue breastfeeding, and give oral rehydration solution as advised
- 5. B · The child is not yet walking independently
- 6. A · Staying dry for about 2 hours, showing interest and being able to follow simple instructions
- 7. A · Worsening heart failure with fluid retention
- 8. A · About 67 mL per hour
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