Pediatric nursing worksheet with answers

By about what age does the posterior fontanelle usually close?

1. ABy about 18 months
2. BBy about 12 months
3. CBy about 3 years
4. DBy about 2 months

According to Erikson, what is the main developmental task of a toddler (about 1 to 3 years)?

1. AInitiative versus guilt
2. BTrust versus mistrust
3. CAutonomy versus shame and doubt
4. DIndustry versus inferiority

How deep should chest compressions be during CPR on a child?

1. AAbout one tenth of the depth of the chest
2. BAs deep as possible, until the ribs can be felt to give
3. CAt least one third of the depth of the chest
4. DJust enough to see the chest move slightly

How can the nurse best support a child with autism on a children's ward?

1. AKeep routines predictable, reduce noise and use visual schedules
2. BChange the nurse each shift so the child meets more people
3. CPlace the child in the busiest bay near the nurses' station
4. DExplain all procedures only at the very last minute to avoid days of worry

A child with a known peanut allergy is starting school. What is the most important step?

1. AAsking the child to tell the teachers if she feels unwell
2. BAllowing the child to eat only foods brought by classmates
3. CKeeping the auto-injector at home, so that it cannot be lost or misused by other children
4. DA written allergy action plan, with in-date auto-injectors and trained staff

A child has scabies. Which plan is correct?

1. ATreat only the child, as family members without itching are not infected
2. BTreat the child and all close contacts at the same time, and wash bedding and clothes
3. CTreat only the itchy areas of skin, not the whole body
4. DStop treatment as soon as the itch improves on the first day

A toddler with tetralogy of Fallot is crying hard and becomes deeply cyanotic and limp. What should the nurse do first?

1. AMeasure the head circumference
2. BTake the child for a walk to calm down
3. CPlace the child in a knee–chest position, keep them calm and call for help
4. DLie the child flat with the legs raised to increase the return of blood to the heart

A healthy 12-month-old has a mild fever and fussiness the evening after receiving vaccines. The parent asks if future vaccines should be stopped. What is the correct answer?

1. AThe child should take antibiotics before every future vaccine to stop the fever and fussiness from happening again
2. BNo; mild fever and fussiness are common, expected reactions and are not a reason to stop vaccination
3. CYes; the child should never receive vaccines again
4. DYes; any reaction means the child is allergic