Pediatric nursing worksheet with answers

According to atraumatic care, where should a painful procedure such as a blood test be done?

1. AIn a treatment room, not in the child's bed
2. BIn the playroom so the child feels relaxed
3. CIn the child's bed so they do not need to move
4. DIn the waiting room in front of other children

Which statement about head lice is correct?

1. AThey mainly live on pets and pass to children from dogs and cats
2. BThey spread by head-to-head contact and are not a sign of poor hygiene
3. CThey only affect children with dirty hair who do not wash it often
4. DThey jump or fly from one child to another across the classroom

For which child is the FLACC scale most appropriate?

1. AAn adult after surgery
2. BA 2-year-old who cannot yet describe pain
3. CA 14-year-old who can rate pain from 0 to 10
4. DA 9-year-old who can use a numeric rating scale

What is the purpose of grommets (tympanostomy tubes) in a child with repeated middle ear problems?

1. ATo widen the outer ear canal and reduce the build-up of wax
2. BTo replace the damaged eardrum permanently
3. CTo ventilate the middle ear and let fluid drain
4. DTo give antibiotics directly into the inner ear

Ten minutes into a blood transfusion, a child develops fever, chills and back pain. What should the nurse do first?

1. AStop the transfusion
2. BFinish the unit quickly, then report it
3. CSlow the transfusion and give paracetamol (acetaminophen)
4. DGive an antihistamine and continue

What is "assent" in children's care?

1. AThe child's agreement to care, sought alongside the parents' consent
2. BA form that lets the hospital treat any child without parental consent
3. CThe legal consent signed by the parent for surgery
4. DThe doctor's decision about which treatment is best

A child with cystic fibrosis has bulky, greasy, foul-smelling stools and is not gaining weight despite a good appetite. What does this most likely indicate?

1. AA normal finding that needs no action
2. BA sign that the lungs are improving
3. CThe child is eating too much fat, so all fat should be removed from the diet
4. DPoor fat absorption; the pancreatic enzyme dose or timing needs review

A 5-year-old with leukaemia tells the nurse she is ill because she was naughty. What is the best response?

1. AAgree that being good may help her get better faster
2. BIgnore the remark, as she is too young to understand
3. CExplain the cell biology of leukaemia to her in detail
4. DReassure her clearly that nothing she did or thought made her ill