Pediatric nursing worksheet with answers

Which finding on examination is typical of pyloric stenosis?

1. AA swollen abdomen with no bowel sounds at all
2. BA tender mass in the left lower abdomen
3. CAn olive-shaped mass in the upper abdomen
4. DA soft bulge at the belly button when crying

From about what age can whole cow's milk be given as a main drink?

1. AAbout 12 months
2. BNot until about 2 years
3. CAbout 3 months
4. DAbout 6 months

At about what age can most infants sit steadily without support?

1. AAbout 18 to 24 months
2. BAbout 6 to 8 months
3. CAbout 2 to 3 months
4. DAbout 12 to 15 months

After a cardiac catheterisation through the femoral artery, which assessment is essential?

1. APulse, colour, warmth and sensation of the leg below the puncture site
2. BBowel sounds, abdominal girth and stool colour every 15 minutes for the first hours
3. CPupil size and reaction every 15 minutes
4. DUrine specific gravity at every void

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

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

Why are codeine and tramadol not recommended for children under 12 years?

1. ASome children metabolise them very quickly, causing dangerous breathing depression
2. BThey are too weak to relieve moderate pain, so stronger opioids are always preferred
3. CThey can only be given intravenously
4. DThey always cause allergies

After surgery for a perforated appendix, why is a child often nursed in a semi-upright position?

1. ATo make it easier for the child to watch television
2. BTo stop the wound drain from removing fluid too fast during the first day
3. CTo prevent the child from sleeping too deeply
4. DTo help infected fluid collect in the pelvis rather than spread upwards

A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?

1. ALow haemoglobin and low platelets with a normal potassium
2. BHigh sodium, high glucose, low albumin and low urea
3. CLow potassium, low phosphate, low uric acid and high calcium
4. DHigh potassium, high phosphate, high uric acid and low calcium