1.Easy
What is the most serious complication of Kawasaki disease?
- ADiabetes mellitus
- BCoronary artery aneurysms
- CKidney failure needing dialysis
- DPermanent hearing loss
2.Easy
Which advice about infant sleep reduces the risk of sudden infant death?
- AUse soft pillows and bumpers to protect the baby
- BLet the baby sleep on a sofa with a parent
- CPlace the baby on the back on a firm, flat surface without pillows or soft toys
- DPlace the baby on the stomach on a soft mattress so that the baby cannot choke on milk
3.Easy
How should a dose of half a milligram be written?
- A5.0 mg
- B0.50 mg
- C.5 mg
- D0.5 mg
4.Medium
What is the purpose of grommets (tympanostomy tubes) in a child with repeated middle ear problems?
- ATo widen the outer ear canal and reduce the build-up of wax
- BTo replace the damaged eardrum permanently
- CTo ventilate the middle ear and let fluid drain
- DTo give antibiotics directly into the inner ear
5.Medium
Which defect classically causes a continuous "machinery" murmur?
- APatent ductus arteriosus
- BIsolated pulmonary stenosis with an intact ventricular septum
- CTetralogy of Fallot
- DAtrial septal defect
6.Medium
What is "assent" in children's care?
- AThe legal consent signed by the parent for surgery
- BA form that lets the hospital treat any child without parental consent
- CThe child's agreement to care, sought alongside the parents' consent
- DThe doctor's decision about which treatment is best
7.Hard
How is pain best assessed in a 10-year-old with severe cerebral palsy who cannot speak?
- AWith a 0–10 numerical scale, by asking the child to point to a number on a printed chart
- BPain cannot be assessed, so analgesia is given only on request
- CWith a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues
- DOnly by checking whether the heart rate is above normal
8.Hard
Which practice most reduces the risk of errors with high-alert medicines such as insulin or opioid infusions in children?
- ARounding doses up to the nearest whole number to keep things simple
- BAn independent double check by a second nurse before giving the medicine
- CAsking the child's parent to look at the syringe and confirm that the dose looks right
- DChecking the dose only when the drug is given for the first time
Answer key
- 1. B · Coronary artery aneurysms
- 2. C · Place the baby on the back on a firm, flat surface without pillows or soft toys
- 3. D · 0.5 mg
- 4. C · To ventilate the middle ear and let fluid drain
- 5. A · Patent ductus arteriosus
- 6. C · The child's agreement to care, sought alongside the parents' consent
- 7. C · With a behavioural tool such as revised FLACC, using the parents' knowledge of usual cues
- 8. B · An independent double check by a second nurse before giving the medicine
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