Pediatric nursing worksheet with answers

A 13-year-old boy has sudden, severe pain in one testis with nausea and vomiting. How should this be treated?

1. AAs a urine infection to be treated at home
2. BAs a surgical emergency
3. CAs normal growing pains of puberty
4. DAs a sports strain that will heal with rest

What do the letters of the FLACC pain scale stand for?

1. AFlexion, Limb tone, Activity, Circulation, Cry
2. BFacial expression, Language, Alertness, Comfort, Calmness
3. CFever, Lethargy, Appetite, Colour, Crying
4. DFace, Legs, Activity, Cry, Consolability

For about how long does the World Health Organization recommend exclusive breastfeeding?

1. AAbout the first 12 months
2. BAbout the first 3 months
3. CAbout the first 6 weeks
4. DAbout the first 6 months

A topical anaesthetic cream (lidocaine–prilocaine) is planned before a cannula insertion. What is important?

1. AApply it just seconds before the needle
2. BApply it to broken skin for faster effect
3. CRub it firmly into the skin and wipe it off after about 1 minute, without a dressing
4. DApply it well in advance, usually about 60 minutes, under an occlusive dressing

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

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

Which defect classically causes a continuous "machinery" murmur?

1. AAtrial septal defect
2. BPatent ductus arteriosus
3. CTetralogy of Fallot
4. DIsolated pulmonary stenosis with an intact ventricular septum

A 14-year-old has superficial cuts on her forearms. She says cutting helps her cope and that she does not want to die. What is the best nursing response?

1. ATell her firmly that cutting is attention-seeking behaviour and that she must stop now
2. BAccept that she is not at risk because she says she does not want to die
3. CTreat the wounds, stay calm and non-judgemental, and refer for assessment
4. DPromise not to tell anyone so that she keeps talking

Which bedside check is recommended before each feed to confirm the position of a child's nasogastric tube?

1. AInject air and listen over the stomach for a "whoosh"
2. BPlace the end of the tube in water and look for bubbles
3. CCheck that aspirate from the tube is acidic, using the pH limit in local policy
4. DAsk the child whether the tube feels comfortable and check the length mark only