Pediatric nursing worksheet with answers

At about what age do most children begin to walk without support?

1. AAbout 2 years in most children, within a typical range of 18 to 30 months
2. BAbout 6 months
3. CAbout 3 years
4. DAbout 12 months, within a typical range of about 9 to 15 months

What is the main purpose of supervised "tummy time" for babies who are awake?

1. ATo strengthen neck, shoulder and arm muscles and help prevent a flat head
2. BTo help the baby sleep for longer periods at night
3. CTo improve digestion and reduce colic and wind after every feed of the day
4. DTo reduce the risk of sudden infant death during sleep

Which symptom is typical of croup?

1. AA barking, seal-like cough
2. BDrooling and inability to swallow
3. CWheeze on breathing out only
4. DA whooping sound after coughing fits

How can acute rheumatic fever be prevented?

1. ABy giving aspirin for every fever
2. BBy prompt antibiotic treatment of streptococcal sore throat
3. CBy avoiding dairy products and cold drinks during every cold or cough
4. DBy routine MMR vaccination in infancy

A 13-year-old has a concussion during a football match. What is the correct advice?

1. AAvoid all mental and physical activity, including school, for at least 2 months
2. BContinue training as usual unless there was a loss of consciousness
3. CReturn to the match as soon as the headache improves
4. DNo sport that day; return step by step once symptoms have gone

A toddler refuses a liquid medicine. Which approach is appropriate?

1. AMix it with a small spoonful of food, if the pharmacist says this is safe
2. BMix it into a full bottle of milk or juice for the whole day
3. CHold the child's nose firmly until he has to open his mouth to breathe
4. DTell the child it is a sweet so that he takes it happily

A toddler with sickle cell disease suddenly becomes pale and lethargic, with a fast heart rate and an enlarging left upper abdomen. What should the nurse suspect?

1. AA pain crisis in the abdominal muscles
2. BA simple viral infection with mild anaemia
3. CSplenic sequestration crisis, an emergency
4. DConstipation causing abdominal swelling and discomfort

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. BTreat the wounds, stay calm and non-judgemental, and refer for assessment
3. CPromise not to tell anyone so that she keeps talking
4. DAccept that she is not at risk because she says she does not want to die