Pediatric nursing worksheet with answers

What does the HbA1c blood test show in a child with diabetes?

1. AWhether ketones are present in the blood right now
2. BThe average blood glucose over about the past 2–3 months
3. CThe blood glucose at the exact moment of the test
4. DThe amount of insulin the pancreas is making on the day of the test

Which finding suggests hydrocephalus in an infant?

1. AA small head with a closed fontanelle at birth
2. BA rapidly increasing head circumference with a bulging fontanelle
3. CA sunken fontanelle with dry mucous membranes and few wet nappies
4. DA flat area on the back of the head

Which practice most increases the risk of early childhood tooth decay?

1. ABrushing the teeth with a smear of fluoride toothpaste
2. BOffering water to drink between meals
3. CPutting a baby to bed with a bottle of milk or juice
4. DHaving a first dental visit by about the first birthday

Which growth chart finding in a 10-month-old most needs further evaluation?

1. AHead circumference that follows the 75th percentile curve
2. BWeight that has fallen across two major percentile lines since the last visits
3. CLength on the 50th percentile and weight on the 40th percentile
4. DWeight that has stayed on the 10th percentile since birth

If the MMR and varicella vaccines are not given on the same day, what is the general rule?

1. ASeparate them by at least 1 week
2. BNever give both vaccines in the same year
3. CGive the second within 24 hours of the first
4. DSeparate them by at least 4 weeks

A child with type 1 diabetes has a stomach bug and is eating very little. What is the correct advice about insulin?

1. AKeep giving insulin, check glucose and ketones more often and follow the sick-day plan
2. BStop all insulin until the child is eating normally again, then restart at the usual dose
3. CGive double the usual insulin to prevent ketones
4. DGive insulin only if the child is vomiting

Which finding in a 9-month-old requires the most prompt developmental follow-up?

1. AThe baby cannot yet walk
2. BThe baby cannot yet say clear words
3. CThe baby uses only one hand and ignores the other
4. DThe baby is shy with strangers

An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?

1. AListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
2. BPhone the uncle straight away to ask for his side of the story before reporting anything
3. CPromise to keep the secret, so that she keeps trusting the nurse and tells more later
4. DAsk detailed, leading questions to find out exactly what happened