Pediatric nursing worksheet with answers

Which treatment, given early, reduces the risk of heart damage in Kawasaki disease?

1. AInsulin and fluids
2. BOral antibiotics for 10 days
3. CIntravenous immunoglobulin (IVIG)
4. DAntiviral medicine such as aciclovir

Which advice about infant sleep reduces the risk of sudden infant death?

1. AUse soft pillows and bumpers to protect the baby
2. BPlace the baby on the stomach on a soft mattress so that the baby cannot choke on milk
3. CPlace the baby on the back on a firm, flat surface without pillows or soft toys
4. DLet the baby sleep on a sofa with a parent

Which newborn scalp swelling typically crosses the suture lines?

1. ACaput succedaneum
2. BPositional plagiocephaly
3. CCraniosynostosis
4. DCephalohaematoma

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

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

How should a nurse approach a health interview with a 15-year-old?

1. AInterview the adolescent with friends present for support
2. BSpeak only to the parent
3. CSpend part of the visit alone with the adolescent and explain the limits of confidentiality
4. DTell the adolescent that everything said will be shared with the parents to keep them informed

Which advice about screen use reflects common paediatric guidance for children under about 18 months?

1. AUp to 2 hours a day of educational TV programmes is beneficial for language
2. BScreens are fine as long as the volume is low
3. CAvoid screen media, apart from video calls with family
4. DBackground TV helps language development

A toddler with croup now has stridor at rest, is agitated and has marked chest retractions. What is the priority?

1. ALay the child flat to rest
2. BGet urgent medical help; this is severe croup that may need nebulised epinephrine
3. CExamine the throat with a tongue depressor to look for the cause of the noisy breathing
4. DSend the child home with cough medicine

An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?

1. AListen calmly, praise her for telling, explain it must be shared, and follow safeguarding
2. BPromise to keep the secret, so that she keeps trusting the nurse and tells more later
3. CAsk detailed, leading questions to find out exactly what happened
4. DPhone the uncle straight away to ask for his side of the story before reporting anything