Pediatric nursing worksheet with answers

Which sign suggests heart failure in an infant?

1. ASweating and tiring during feeds
2. BA slow heart rate at rest
3. CSlow breathing with long pauses
4. DFeeding eagerly and finishing every bottle quickly

Which feature is typical of whooping cough (pertussis) in an older child?

1. ABouts of coughing that end with a "whoop" on breathing in
2. BDrooling, a high fever and difficulty swallowing saliva
3. CA wheeze heard only on breathing out, with a runny nose
4. DA barking cough and a hoarse voice that are worse at night

Which asthma medicine is a reliever for quick relief of symptoms?

1. AAn inhaled corticosteroid taken every morning
2. BFluticasone inhaled twice daily as a preventer
3. CMontelukast tablets taken once a day at night
4. DSalbutamol (albuterol)

Which advice best prevents dog bites in young children?

1. ANever leave a young child alone with a dog, even the family pet
2. BTeach the child to stare into the dog's eyes to show who is in charge
3. CLet the child hug the dog while it eats so it gets used to children
4. DChoose a small breed, as small dogs never bite

Which nursing precaution applies to a child with a suspected Wilms tumour (nephroblastoma)?

1. AGive daily enemas
2. BAvoid palpating the abdomen
3. CEncourage vigorous abdominal massage
4. DKeep the child flat in bed for 2 weeks

A newborn has a cephalohaematoma. What should the nurse monitor closely over the next days?

1. AHead circumference twice daily, because it signals hydrocephalus
2. BUrine colour, because the swelling causes kidney damage
3. CJaundice, because the breakdown of the trapped blood adds to bilirubin
4. DBlood pressure, because the swelling causes hypertension

A child has had many hospital admissions with unexplained symptoms. They occur only when the mother is present and stop when the child is apart from her. What should the nurse consider?

1. AFabricated or induced illness; follow safeguarding procedures
2. BThe child is pretending to be ill to avoid school
3. CA rare genetic disorder that needs more tests at once
4. DThe ward environment or hospital food is causing the symptoms

A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?

1. ALow potassium, low phosphate, low uric acid and high calcium
2. BHigh sodium, high glucose, low albumin and low urea
3. CHigh potassium, high phosphate, high uric acid and low calcium
4. DLow haemoglobin and low platelets with a normal potassium