Pediatric nursing worksheet with answers

In an asthma action plan based on peak flow, what does the green zone mean?

1. AAsthma is under control; continue usual treatment
2. BUse the reliever more often and contact the doctor today
3. CStop the preventer because it is no longer needed
4. DThis is an emergency; call for help at once

What is the purpose of newborn blood spot screening, for example for phenylketonuria?

1. ATo measure the baby's iron stores
2. BTo test for infections caught during birth
3. CTo detect treatable disorders early, before symptoms appear
4. DTo find the baby's blood group for transfusion

Why is vitamin K given to newborns shortly after birth?

1. ATo prevent vitamin K deficiency bleeding
2. BTo prevent jaundice in the first week of life
3. CTo prevent bacterial eye infection after birth
4. DTo protect against hepatitis B infection

How should a parent respond to a 2-year-old's temper tantrum in a safe place?

1. AGive the child the sweet he wants so the tantrum stops
2. BSmack the child to show that tantrums are not allowed
3. CStay calm, keep the child safe and do not give in to the demand
4. DShout loudly at the child to make the tantrum stop sooner

A child with suspected measles is admitted. Which precaution is most important?

1. AAirborne precautions, ideally in a negative-pressure room
2. BNo special precautions once the rash appears
3. CDroplet precautions in a shared bay
4. DContact precautions only, with gloves

Which instruction about a child's new plaster cast is correct?

1. APush a knitting needle inside the cast to scratch an itch
2. BKeep the limb raised and report increasing pain, numbness or pale or blue fingers
3. CLet the child walk on a leg cast as soon as it is applied
4. DKeep the cast covered with a plastic bag at all times while it dries, to keep it clean

A 4-year-old has a high fever, is drooling, sitting forward with the neck extended and looks anxious. What should the nurse do first?

1. AKeep the child calm and upright with the parent, and call a team skilled in airway management
2. BTake a throat swab to identify the organism
3. CLie the child flat and use a tongue depressor to look into the throat and confirm the swelling
4. DInsert an IV cannula before calling for help

A toddler weighed 10 kg before 2 days of diarrhoea and now weighs 9.5 kg. How much has he lost?

1. A500 g, about 5% of his body weight, mostly fluid
2. B500 g, about 50% of his body weight
3. C50 g, about 0.5% of his body weight
4. D1 kg, about 10% of his body weight