1.Easy
Which test is used to diagnose cystic fibrosis?
- AA chest X-ray alone
- BA urine glucose test
- CA throat swab culture
- DThe sweat chloride test
2.Easy
According to Erikson, what is the developmental task of the school-age child (about 6 to 12 years)?
- AGenerativity versus stagnation
- BInitiative versus guilt
- CIndustry versus inferiority
- DTrust versus mistrust
3.Easy
For which child is a 0 to 10 numerical pain rating scale usually suitable?
- AA 2-year-old with a recent fracture
- BA child of about 8 years or older
- CA 3-year-old who cannot yet count
- DA newborn after a heel prick
4.Medium
Which is the main modifiable risk factor for type 2 diabetes in adolescents?
- AObesity with low physical activity
- BBeing of a particular ethnic background
- CA viral infection in early childhood
- DA family history of diabetes
5.Medium
A parent asks how to care for a child with mild croup at home. Which advice is correct?
- AGive an over-the-counter cough syrup every hour until the barking cough stops
- BKeep the child calm and upright, and get urgent help if there is noisy breathing at rest
- CLay the child flat in a cool room so the airway can relax
- DHold the child over a bowl of hot, steaming water to loosen the cough
6.Medium
Which snack is safest for a 2-year-old?
- AWhole grapes from the fruit bowl
- BA small bowl of popcorn
- CSmall pieces of soft cooked vegetables
- DA handful of whole peanuts
7.Hard
A 15-year-old in traction for a femur fracture is withdrawn and irritable. Which intervention best fits his developmental stage?
- ASet a strict timetable for him that staff decide without his input
- BAsk his parents to stay with him at all times and make decisions for him
- CMove him to a room with toddlers so the ward is less lonely
- DArrange contact with friends and let him control parts of his daily routine
8.Hard
A 10-year-old with suspected appendicitis has had severe abdominal pain, but it suddenly gets much better. What may this mean?
- AIt is a normal change that needs no follow-up
- BThe pain medication has cured the problem
- CThe appendix may have perforated; report it immediately
- DThe appendicitis has resolved and the child can go home
Answer key
- 1. D · The sweat chloride test
- 2. C · Industry versus inferiority
- 3. B · A child of about 8 years or older
- 4. A · Obesity with low physical activity
- 5. B · Keep the child calm and upright, and get urgent help if there is noisy breathing at rest
- 6. C · Small pieces of soft cooked vegetables
- 7. D · Arrange contact with friends and let him control parts of his daily routine
- 8. C · The appendix may have perforated; report it immediately
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