Pediatric nursing worksheet with answers

According to Erikson, what is the developmental task of infancy (birth to about 1 year)?

1. AIntimacy versus isolation
2. BAutonomy versus shame and doubt
3. CTrust versus mistrust
4. DIdentity versus role confusion

Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?

1. ABecause the spleen stops working
2. BBecause the heart makes red blood cells
3. CTo compensate for chronic hypoxia
4. DBecause of too much iron in the diet

What is the first-line treatment for anaphylaxis in a child?

1. AIM adrenaline (epinephrine)
2. BAn oral antihistamine
3. COral paracetamol (acetaminophen)
4. DAn inhaled corticosteroid via a spacer

Which instruction about giving oral liquid iron to a child is correct?

1. AGive it with a syringe or straw towards the back of the mouth; dark stools are expected
2. BGive it mixed in a full bottle of milk to reduce stomach upset
3. CGive it together with an antacid to protect the stomach
4. DStop the iron straight away if the stools turn dark green or black, as this means bleeding

Which task can the registered nurse delegate to a healthcare assistant (nursing assistant) on a children's ward?

1. AAssessing pain after surgery and choosing the analgesia
2. BMeasuring and recording the vital signs of a stable child
3. CTeaching a parent how to give insulin injections
4. DCarrying out the admission assessment of a new patient

A child with a myelomeningocele has a neurogenic bladder. Which management is usual?

1. AA permanent catheter left in place for life
2. BClean intermittent catheterisation
3. CWaiting for bladder control to develop naturally
4. DRestricting fluids to reduce urine volume

A child with eczema suddenly develops clusters of painful, punched-out blisters and erosions with a fever. What should the nurse suspect?

1. AAn allergic reaction to the emollient
2. BEczema herpeticum, which needs urgent antiviral treatment
3. CA normal eczema flare that needs more emollient
4. DChickenpox, which is mild and needs no specific treatment

A 7-year-old with an asthma attack was wheezing loudly but is now quiet, drowsy and has very reduced air entry. What does this indicate?

1. AThe attack is resolving
2. BThe child is falling asleep normally
3. CA good response to the reliever inhaler, with the airways now opening up again
4. DA life-threatening deterioration with exhaustion and very poor air movement