Pediatric nursing worksheet with answers

When can a child stop using a booster seat in the car?

1. AAt 4 years of age, whatever the child's height
2. BWhen the adult seat belt fits properly across the shoulder and upper thighs
3. CWhen the child starts primary school and can sit still for a whole journey
4. DAs soon as the child can fasten the seat belt alone

How do most preschool children understand death?

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

What is the general advice about rear-facing car seats for young children?

1. ATurn the seat forward at 6 months for every child
2. BTurn the seat forward as soon as the child can sit up without support, whatever the child's weight
3. CRear-facing seats are only needed for newborns
4. DKeep the child rear-facing for as long as possible, within the seat's height and weight limits

Which nursing precaution applies to a child with a suspected Wilms tumour (nephroblastoma)?

1. AGive daily enemas
2. BKeep the child flat in bed for 2 weeks
3. CEncourage vigorous abdominal massage
4. DAvoid palpating the abdomen

A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?

1. AA hard toothbrush and lemon–glycerine swabs to clean the ulcers
2. BSpicy and acidic foods to stimulate saliva flow
3. CA soft toothbrush or sponge, bland rinses and soft, cool foods
4. DMouthwash containing alcohol several times a day

The parents of a 2-year-old worry that she eats much less than she did as a baby. She is growing along her centile. What should the nurse advise?

1. AAppetite falls as growth slows; offer small, healthy portions without pressure
2. BEncourage her to finish every meal, even if this takes a long time at the table
3. CGive extra bottles of milk to make up for the meals she refuses
4. DThis is a sign of illness and she needs blood tests

Which finding in a 3-month-old with bronchiolitis requires immediate follow-up?

1. APauses in breathing (apnoea) and an oxygen saturation of 88%
2. BWheeze heard on auscultation
3. CA runny nose and mild cough
4. DFeeding slightly less than usual but still with wet nappies

A boy with haemophilia A bumps his head hard on a table. He seems well. What should the nurse advise?

1. AWatch him at home for a week and bring him in only if he vomits or has a headache
2. BGive aspirin for the pain and apply ice to the bump
3. CSeek urgent care, as factor replacement may be needed before symptoms appear
4. DNo action is needed, because head bleeds are rare in haemophilia