1.Easy
By about what age does the posterior fontanelle usually close?
- ABy about 18 months
- BBy about 12 months
- CBy about 2 months
- DBy about 3 years
2.Easy
At about what age does a baby typically begin to smile socially in response to a familiar face?
- AAbout 2 weeks
- BAbout 2 months
- CAbout 9 months
- DAbout 6 months
3.Easy
Which finding is typical of impetigo?
- ATiny burrows between the fingers
- BSilvery scales on the elbows and knees
- CHoney-coloured crusts, often around the nose and mouth
- DA target-shaped rash with a dusky, pale centre on the palms
4.Medium
A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?
- AHold the child's arms and legs firmly to stop the movements
- BWait another 15 minutes, because most seizures stop on their own
- CPut a tongue depressor between the child's teeth
- DGive the prescribed rescue medicine and call for emergency help
5.Medium
A child is in skin traction for a leg fracture. Which nursing action is correct?
- ARemove the traction tapes every hour to check the skin
- BKeep the weights hanging freely, clear of the bed and floor
- CLift the weights off when the child is uncomfortable
- DLet the weights rest on the floor while the child sleeps, so the pull is gentler
6.Medium
An infant with heart failure is treated with furosemide. Which blood result is most important to monitor?
- APlatelet count
- BSerum amylase and lipase
- CSerum bilirubin
- DSerum potassium
7.Hard
A child with Hirschsprung disease awaiting surgery develops fever, explosive diarrhoea and a very swollen abdomen. What should the nurse suspect?
- AOrdinary viral gastroenteritis
- BOveruse of laxatives at home
- CThe disease has resolved itself
- DEnterocolitis, an emergency
8.Hard
A 7-year-old has a fever, joint pain moving from joint to joint and a new heart murmur, three weeks after a sore throat. What should the nurse suspect?
- AJuvenile idiopathic arthritis with no link to the sore throat
- BGrowing pains
- CKawasaki disease
- DAcute rheumatic fever
Answer key
- 1. C · By about 2 months
- 2. B · About 2 months
- 3. C · Honey-coloured crusts, often around the nose and mouth
- 4. D · Give the prescribed rescue medicine and call for emergency help
- 5. B · Keep the weights hanging freely, clear of the bed and floor
- 6. D · Serum potassium
- 7. D · Enterocolitis, an emergency
- 8. D · Acute rheumatic fever
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