Pediatric nursing worksheet with answers

A 13-year-old boy has sudden, severe pain in one testis with nausea and vomiting. How should this be treated?

1. AAs normal growing pains of puberty
2. BAs a surgical emergency
3. CAs a sports strain that will heal with rest
4. DAs a urine infection to be treated at home

Which five signs make up the Apgar score?

1. ABreathing rate, blood glucose, length, muscle tone and cry
2. BHeart rate, breathing effort, muscle tone, reflex response and colour
3. COxygen saturation, temperature, reflexes, weight and feeding
4. DHeart rate, blood pressure, temperature, weight and colour

A child due for vaccines has a mild cold and a temperature of 37.8 °C. What is the general principle?

1. AA mild illness is not a reason to delay vaccination
2. BThe child should receive only half the dose
3. CVaccines must be postponed for 4 weeks until the child is well
4. DThe child must take antibiotics first

Which treatment is commonly used for a child with moderate croup?

1. AChest physiotherapy
2. BA single dose of an oral corticosteroid such as dexamethasone
3. CA course of oral antibiotics such as amoxicillin for 5 to 7 days
4. DA cough suppressant

Which child should generally not receive a live vaccine such as MMR?

1. AA child with a mild cold
2. BA child with severe immune suppression, for example during chemotherapy
3. CA child whose sibling has a cold
4. DA child who is currently taking oral antibiotics for an uncomplicated ear infection

Which finding suggests repeated self-induced vomiting?

1. ACalluses on the knuckles and loss of tooth enamel
2. BYellow skin, itching and dark urine
3. CA butterfly rash on the cheeks and patchy hair loss
4. DSwelling of the ankles and puffy eyes

A mother says her 3-month-old broke his thigh bone by crawling off the bed. What should concern the nurse?

1. AThigh fractures are common in young infants with soft bones
2. BThe explanation does not fit the baby's stage of development
3. CThe fracture is too small to need treatment and will heal by itself
4. DBabies of this age often crawl and fall

A parent refuses a recommended vaccine for their infant because of fears about side effects. What is the best initial nursing approach?

1. AGive the vaccine anyway while the parent is distracted
2. BListen to the concerns, give clear evidence-based information and document the discussion
3. CTell the parent that the child can no longer be treated at the clinic unless the vaccine is given
4. DAvoid the topic at future visits