Pediatric nursing worksheet with answers

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

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

What is the main cause of type 1 diabetes in children?

1. AA lack of glucagon from the alpha cells of the pancreas
2. BAutoimmune destruction of the insulin-producing beta cells
3. CToo much insulin being produced by an overactive pancreas
4. DInsulin resistance caused mainly by obesity and inactivity

What is a positive Brudzinski sign?

1. AThe pupils become unequal in size after a head injury
2. BBending the neck forward causes the hips and knees to flex
3. CThe child cannot straighten the knee when the hip is flexed
4. DThe toes fan out when the sole of the foot is stroked

Which diet is usually recommended for a child with cystic fibrosis?

1. AA low-fat diet to reduce greasy stools and abdominal pain
2. BA low-salt diet to protect the heart and kidneys from damage later in life
3. CA high-energy, high-fat diet with fat-soluble vitamin supplements
4. DA low-protein diet to reduce the work of the pancreas

In a child with hypovolaemic shock, which finding is usually a late sign?

1. AProlonged capillary refill
2. BLow blood pressure
3. CTachycardia
4. DCool extremities

Which drink is best for a child with mild dehydration from gastroenteritis?

1. AUndiluted apple juice
2. BOral rehydration solution
3. CSports drinks
4. DCola or other fizzy drinks

A conscious 6-month-old is choking and cannot cry or cough. Which technique is appropriate?

1. AAbdominal thrusts
2. BUp to 5 back blows followed by up to 5 chest thrusts
3. CHolding the baby upside down by the ankles and shaking
4. DA blind finger sweep of the mouth

A 3-year-old says the IV pump "is angry" when it beeps. Which feature of thinking does this show?

1. AAnimism, typical of preoperational thinking
2. BObject permanence, typical of the sensorimotor stage
3. CAbstract reasoning, typical of formal operations
4. DConservation, typical of concrete operations