1.Easy
Febrile seizures most often occur in which age group?
- ABetween 8 and 12 years
- BIn adolescence
- CBetween about 6 months and 5 years
- DIn the first week of life
2.Easy
Why are breastfed infants often given a vitamin D supplement?
- ABreast milk contains too little protein for growth
- BBreast milk contains little vitamin D
- CVitamin D prevents iron-deficiency anaemia
- DVitamin D prevents newborn jaundice
3.Easy
Which signs during a newborn's first feed suggest oesophageal atresia with a tracheo-oesophageal fistula?
- AA strong suck and rapid weight gain
- BSleeping through feeds and passing pale stools
- CCoughing, choking and cyanosis
- DProjectile vomiting that starts at 4 weeks
4.Medium
Which signs suggest digoxin toxicity in a child?
- AIncreased appetite, extra energy and rapid weight gain over a few days
- BHigh fever with a spreading red rash
- CNausea, vomiting, poor feeding and a slow heart rate
- DFast heart rate with high blood pressure
5.Medium
How should anti-sickness medicine be given to a child receiving chemotherapy that often causes vomiting?
- AOnly at night, when the child is asleep
- BOnly after the child has already vomited at least twice
- CBefore the chemotherapy starts and then regularly
- DOnly if the child asks for it
6.Medium
Which temperature is usually taken as fever in a child?
- A39.5 °C (103.1 °F) or higher
- B38.0 °C (100.4 °F) or higher
- C37.5 °C (99.5 °F) or higher
- D37.0 °C (98.6 °F) or higher
7.Hard
A 4-month-old is brought in drowsy and vomiting, with no visible injuries. Retinal haemorrhages are found. What should the nurse suspect?
- AViral gastroenteritis
- BAbusive head trauma
- CMigraine
- DNormal newborn retinal changes
8.Hard
Which IV fluid is usually used for a fluid bolus in a child with shock?
- A5% glucose in water, given as fast as possible
- B10% glucose solution
- C0.18% sodium chloride with 4% glucose, given quickly
- DAn isotonic crystalloid such as 0.9% sodium chloride
Answer key
- 1. C · Between about 6 months and 5 years
- 2. B · Breast milk contains little vitamin D
- 3. C · Coughing, choking and cyanosis
- 4. C · Nausea, vomiting, poor feeding and a slow heart rate
- 5. C · Before the chemotherapy starts and then regularly
- 6. B · 38.0 °C (100.4 °F) or higher
- 7. B · Abusive head trauma
- 8. D · An isotonic crystalloid such as 0.9% sodium chloride
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