1.Easy
Which heart rate range is typical for a healthy newborn at rest?
- AAbout 70 to 110 beats per minute
- BAbout 200 to 260 beats per minute
- CAbout 60 to 100 beats per minute
- DAbout 110 to 160 beats per minute
2.Easy
What is the purpose of newborn blood spot screening, for example for phenylketonuria?
- ATo measure the baby's iron stores
- BTo test for infections caught during birth
- CTo detect treatable disorders early, before symptoms appear
- DTo find the baby's blood group for transfusion
3.Easy
For which child is the FLACC scale most appropriate?
- AA 14-year-old who can rate pain from 0 to 10
- BA 9-year-old who can use a numeric rating scale
- CAn adult after surgery
- DA 2-year-old who cannot yet describe pain
4.Medium
Which signs suggest a child is ready to start toilet training?
- ABeing able to walk
- BStaying dry for about 2 hours, showing interest and being able to follow simple instructions
- CSaying the first word
- DReaching the first birthday and being able to walk, whether or not the child shows any interest
5.Medium
Which newborn problem may be the first sign of cystic fibrosis?
- AErythema toxicum
- BUmbilical hernia
- CMeconium ileus
- DPhysiological jaundice
6.Medium
Which advice is best for a baby with mild nappy rash?
- AWipe with perfumed baby wipes at every change to kill the bacteria on the skin
- BApply talcum powder thickly at every nappy change
- CUse tighter nappies so that less urine reaches the skin
- DChange nappies often, clean gently, use a barrier cream and allow nappy-free time
7.Hard
A child with sickle cell disease has been exposed to parvovirus B19 (fifth disease). Why is this a concern?
- AIt causes the sickle gene to become active in the child
- BIt makes the child immune to all future crises
- CIt can stop red cell production for days and cause severe anaemia
- DIt triggers a severe allergic reaction to the virus
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?
- AKawasaki disease
- BJuvenile idiopathic arthritis with no link to the sore throat
- CAcute rheumatic fever
- DGrowing pains
Answer key
- 1. D · About 110 to 160 beats per minute
- 2. C · To detect treatable disorders early, before symptoms appear
- 3. D · A 2-year-old who cannot yet describe pain
- 4. B · Staying dry for about 2 hours, showing interest and being able to follow simple instructions
- 5. C · Meconium ileus
- 6. D · Change nappies often, clean gently, use a barrier cream and allow nappy-free time
- 7. C · It can stop red cell production for days and cause severe anaemia
- 8. C · Acute rheumatic fever
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