Pediatric nursing worksheet with answers

What is Gowers' sign?

1. AFanning of the toes when the sole of the foot is stroked
2. BFlexing the hips and knees when the neck is bent forward by the examiner
3. CA sudden startle with the arms flung outwards
4. DUsing the hands to "walk up" the legs to stand up from the floor

At about what age can most infants sit steadily without support?

1. AAbout 12 to 15 months
2. BAbout 18 to 24 months
3. CAbout 6 to 8 months
4. DAbout 2 to 3 months

For about how long does the World Health Organization recommend exclusive breastfeeding?

1. AAbout the first 6 months
2. BAbout the first 12 months
3. CAbout the first 3 months
4. DAbout the first 6 weeks

A child's asthma action plan shows he is in the yellow zone. What should he do?

1. AStop all medicines and wait to see if the symptoms pass
2. BDouble the preventer dose and do nothing else
3. CGo straight to the emergency department without using any medicine first
4. DUse the reliever as the plan says and contact the doctor if it does not help

When is the best time to tell a 2-year-old about an upcoming procedure?

1. AThe day before, with a detailed explanation
2. BJust before it happens, in simple, concrete words
3. CAbout a week before, so there is time to get used to it
4. DNot at all, to avoid upsetting the child beforehand

Which finding is an early sign of shock in a child?

1. AA warm, flushed child with a strong, bounding pulse
2. BLow blood pressure with a slow heart rate and pauses in breathing
3. CSlow, deep breathing with a normal heart rate
4. DA fast heart rate with a prolonged capillary refill

A child recovering from acute rheumatic fever with heart involvement asks why she needs regular penicillin for years. What is the best answer?

1. ATo cure the heart valve damage that has already occurred and let the valves heal completely
2. BTo prevent common viral colds during the school year
3. CTo prevent new strep infections that could cause further attacks and more valve damage
4. DTo reduce the joint pain that continues after the illness

Which child on the renal ward should the nurse assess first?

1. AA 4-year-old with nephrotic syndrome and mild puffy eyelids, stable since admission
2. BA 2-year-old after hypospadias repair with clear urine in the catheter bag
3. CA 6-year-old on IV antibiotics for a UTI who has had no fever for 24 hours
4. DA 7-year-old with glomerulonephritis who has a severe headache and blurred vision