Pediatric nursing worksheet with answers

Free printable Pediatric nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

Which grains must a child with coeliac disease avoid?

  1. ARice, maize and potato starch
  2. BBuckwheat, millet and rice
  3. CWheat, barley and rye
  4. DQuinoa, maize and sorghum
2.Easy

Which finding on examination is typical of pyloric stenosis?

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

Where should eye drops be placed for a child?

  1. AInto the inner corner of the eye
  2. BOnto the upper eyelid while the eye is shut
  3. CInto the pocket of the lower eyelid
  4. DDirectly onto the centre of the cornea
4.Medium

A 6-month-old's left eye turns inwards all the time. What should the nurse do?

  1. AAdvise them to wait until the child can read letters
  2. BRefer the baby to an eye specialist
  3. CReassure the parents that this always resolves by school age
  4. DCover the right eye with a patch at home without review
5.Medium

A child weighs 20 kg. Which minimum urine output suggests adequate kidney perfusion?

  1. AAbout 5 mL per hour
  2. BAny amount, as long as the child is drinking
  3. CAbout 20 mL per hour
  4. DAbout 2 mL per hour
6.Medium

Using the 100–50–20 rule, what is the daily maintenance fluid requirement for a 15 kg child?

  1. A1250 mL per day
  2. B1000 mL per day
  3. C750 mL per day
  4. D1500 mL per day
7.Hard

A 6-year-old with sickle cell disease has a temperature of 39.0 °C. Why is this treated as urgent?

  1. AFever is the normal start of every pain crisis
  2. BIt is not urgent; fever is common in all children
  3. CChildren with sickle cell disease have reduced spleen function and are at high risk of serious bacterial infection
  4. DFever means a sickling crisis has started, so the child needs a blood transfusion straight away to replace the damaged cells
8.Hard

Five minutes after IM adrenaline for anaphylaxis, a child is still wheezing and has a low blood pressure. What should the nurse do?

  1. AWait 30 minutes for the first dose of adrenaline to take its full effect
  2. BSit the child up and walk her around to raise the blood pressure
  3. CGive a further dose of IM adrenaline as per protocol and call for advanced help
  4. DGive an oral antihistamine and a steroid instead of more adrenaline

Answer key

  1. 1. C · Wheat, barley and rye
  2. 2. B · An olive-shaped mass in the upper abdomen
  3. 3. C · Into the pocket of the lower eyelid
  4. 4. B · Refer the baby to an eye specialist
  5. 5. C · About 20 mL per hour
  6. 6. A · 1250 mL per day
  7. 7. C · Children with sickle cell disease have reduced spleen function and are at high risk of serious bacterial infection
  8. 8. C · Give a further dose of IM adrenaline as per protocol and call for advanced help

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