Pediatric nursing worksheet with answers

Which vaccine has made acute epiglottitis much less common in children?

1. AHaemophilus influenzae type b (Hib) vaccine
2. BRotavirus vaccine given by mouth
3. CPneumococcal conjugate vaccine
4. DMeasles–mumps–rubella (MMR) vaccine

Which type of play, with shared goals, rules and roles, is typical of school-age children?

1. AParallel play
2. BOnlooker play
3. CSolitary play
4. DCooperative play

For which child is a 0 to 10 numerical pain rating scale usually suitable?

1. AA 3-year-old who cannot yet count
2. BA newborn after a heel prick
3. CA 2-year-old with a recent fracture
4. DA child of about 8 years or older

Which signs suggest meningitis in a young infant?

1. ANeck stiffness and a positive Kernig's sign, as in older children and adults
2. BA bulging fontanelle, a high-pitched cry, poor feeding and irritability
3. CA clear runny nose, a mild cough and normal feeding
4. DA sunken fontanelle with heavy wet nappies

Which nursing measure is most helpful for an infant with bronchiolitis?

1. ARoutine antibiotics
2. BHolding all feeds until the infant improves
3. CGentle nasal suctioning before feeds and monitoring of hydration and oxygen saturation
4. DLying the infant flat on the stomach to sleep so that secretions can drain from the airway

A child's tonic–clonic seizure has lasted more than 5 minutes. What should the nurse do?

1. APut a tongue depressor between the child's teeth
2. BHold the child's arms and legs firmly to stop the movements
3. CWait another 15 minutes, because most seizures stop on their own
4. DGive the prescribed rescue medicine and call for emergency help

A 15-year-old asks the nurse to keep her sexual activity confidential from her parents. There are no signs of abuse or risk of serious harm. What is the most appropriate response?

1. ARefuse to discuss it until her parents are present
2. BRespect her confidentiality, give information and explain when information would have to be shared
3. CPromise that nothing she says will ever be shared with anyone, whatever she discloses in the future
4. DTell her parents straight away

Why is a pertussis (whooping cough) vaccine recommended during pregnancy?

1. AIt replaces the need for the baby's own pertussis vaccines
2. BIt protects the fetus from developing heart defects
3. CThe mother's antibodies cross the placenta and protect the baby in the first weeks of life
4. DIt prevents the mother from passing pertussis to the baby through breast milk