Pediatric nursing worksheet with answers

Which site is usually recommended for intramuscular vaccines in infants?

1. AThe deltoid muscle in all ages
2. BThe dorsogluteal muscle of the buttock
3. CThe muscles of the forearm
4. DThe vastus lateralis muscle of the anterolateral thigh

Why do children with long-standing cyanotic heart disease develop a high red blood cell count (polycythaemia)?

1. ABecause the heart makes red blood cells
2. BTo compensate for chronic hypoxia
3. CBecause the spleen stops working
4. DBecause of too much iron in the diet

Why are breastfed infants often given a vitamin D supplement?

1. ABreast milk contains little vitamin D
2. BVitamin D prevents iron-deficiency anaemia
3. CVitamin D prevents newborn jaundice
4. DBreast milk contains too little protein for growth

Which medicine may be used to close a patent ductus arteriosus in a preterm baby?

1. AIntravenous furosemide infusion
2. BSalbutamol
3. CIbuprofen or indomethacin
4. DProstaglandin E1

Which is the main modifiable risk factor for type 2 diabetes in adolescents?

1. AA viral infection in early childhood
2. BObesity with low physical activity
3. CBeing of a particular ethnic background
4. DA family history of diabetes

In acute post-streptococcal glomerulonephritis, which assessment is especially important?

1. ABlood pressure
2. BPeak flow
3. CSerum bilirubin
4. DBlood glucose

A child with a central venous catheter for chemotherapy develops fever and rigors shortly after the line is flushed. What should the nurse suspect?

1. AA normal reaction to the chemotherapy
2. BA blocked line that needs more forceful flushing
3. CA catheter-related bloodstream infection
4. DAn allergy to the saline flush

Which finding in a teenager with anorexia nervosa most clearly suggests the need for hospital admission?

1. AMissing one menstrual period after starting a new diet
2. BWeighing 2 kg less than at last month's clinic visit
3. CFainting episodes with a very slow heart rate and low potassium
4. DWanting to exercise every day