Pediatric nursing worksheet with answers

Which finding in a jaundiced 3-week-old suggests biliary atresia?

1. ABright yellow, seedy stools
2. BPale, watery urine and frequent wet nappies
3. CGreen stools after starting iron drops
4. DPale, clay-coloured stools and dark urine

Why should aspirin generally be avoided in children with viral illnesses such as influenza or chickenpox?

1. AIt always causes allergic reactions
2. BIt causes immediate kidney failure
3. CIt is linked to Reye syndrome
4. DIt makes vaccines ineffective

How do most preschool children understand death?

1. AAs temporary or reversible, like being asleep or away
2. BAs a purely biological process, explained by science
3. CAs an abstract idea they can discuss in depth
4. DAs permanent and something that will happen to everyone

What is the purpose of grommets (tympanostomy tubes) in a child with repeated middle ear problems?

1. ATo ventilate the middle ear and let fluid drain
2. BTo give antibiotics directly into the inner ear
3. CTo replace the damaged eardrum permanently
4. DTo widen the outer ear canal and reduce the build-up of wax

Why is aspirin used in Kawasaki disease even though it is usually avoided in children?

1. AIt is used only as a painkiller for the rash and joint pain, and is stopped once the fever settles
2. BIt reduces inflammation and the risk of coronary artery clots, under specialist supervision
3. CIt prevents Reye syndrome
4. DIt cures the infection that causes the disease

In acute post-streptococcal glomerulonephritis, which assessment is especially important?

1. ABlood glucose
2. BPeak flow
3. CSerum bilirubin
4. DBlood pressure

Which complication is a leading cause of death from measles in children?

1. AOtitis media
2. BPneumonia
3. CConjunctivitis
4. DDiarrhoea

Only one negative-pressure room is available. Which child should be placed in it?

1. AA child with RSV bronchiolitis
2. BA child with suspected measles
3. CA child with norovirus gastroenteritis and vomiting
4. DA child with impetigo