1. A child nearing the end of life will be unlikely to present with which one of the following traits:

1. Shallow breathing
2. Bright eyes
3. Weakness
4. Mottled skin colour

2. Which of the following is a problem solving coping strategy?

1. A parent sharing their fears with another parent on the ward
2. A mum pouring out her worries to her community nurse about her child’s condition
3. A dad going to a counsellor
4. A dad organising the furniture in the child’s bedroom to enable the hospital bed to fit when the child comes home to die

3. Which is the most common symptom occurring in children at the end-of-life?

1. Nausea
2. Vomiting
3. Pain
4. Change of appearance

4. Symptom management is usually given via which route if the child is unable to take it orally?

1. Intra muscular
2. Sub buccal
3. Sub cutaneous
4. Intra nasal

5. What observation listed below is NOT regularly used when assessing pain in a non-verbal child?

1. Self report tool
2. Facial expression
3. Mood
4. Posture