Pediatric nursing worksheet with answers

What is the most common cause of Down syndrome?

1. AAn extra copy of chromosome 21 (trisomy 21)
2. BA missing X chromosome in a girl
3. CInfection with rubella in early pregnancy
4. DA single gene inherited from both carrier parents

Febrile seizures most often occur in which age group?

1. ABetween about 6 months and 5 years
2. BIn the first week of life
3. CIn adolescence
4. DBetween 8 and 12 years

What does the HbA1c blood test show in a child with diabetes?

1. AThe blood glucose at the exact moment of the test
2. BThe average blood glucose over about the past 2–3 months
3. CWhether ketones are present in the blood right now
4. DThe amount of insulin the pancreas is making on the day of the test

A 6-year-old with a life-limiting illness asks the nurse, "Am I going to die?" What is the best response?

1. ATell the child that only the doctor is allowed to talk about this subject with children
2. BChange the subject quickly so the child is not upset
3. CFind out what prompted the question, then answer honestly and simply, with the family
4. DTell the child firmly that this will not happen

A 15-year-old seems very low in mood. Is it safe for the nurse to ask directly about suicidal thoughts?

1. ANo; only a psychiatrist is allowed to ask this question
2. BNo; asking about suicide may put the idea into the young person's head and raise the risk
3. CYes; asking directly does not increase the risk and helps find those who need help
4. DOnly if the parents give written permission first

Which signs suggest hypoglycaemia in a young child with diabetes?

1. AA slow onset of dry skin and flushed cheeks over several days
2. BDeep, rapid breathing with abdominal pain and vomiting
3. CThirst, passing large amounts of urine and a fruity breath smell
4. DShakiness, sweating, pallor and a sudden change in behaviour

A 15-year-old with cystic fibrosis has stopped doing her daily physiotherapy. What is the best approach?

1. AExplore her reasons and plan treatment with her that fits her daily life
2. BWarn her firmly that she will die soon if she does not do what she is told
3. CTell her parents to supervise every session until she is 18
4. DStop the physiotherapy, since she does not want it

A child with a head injury now has rising blood pressure, a falling heart rate and irregular breathing. What does this indicate?

1. ANormal recovery after a head injury
2. BPain from the injury that needs stronger, regular analgesia
3. CA late sign of raised intracranial pressure; an emergency
4. DDehydration that needs more fluids