Pediatric nursing worksheet with answers

At about what age does stranger anxiety usually begin in infants?

1. AAbout 4 to 5 years
2. BAbout 6 to 8 months
3. CAbout 2 to 3 years
4. DAbout 1 to 2 months

Which finding in the fingers is typical of long-standing cyanotic heart disease?

1. AClubbing of the fingertips
2. BSpoon-shaped, thin nails
3. CSwan-neck deformity of the fingers
4. DWebbing between the fingers

How should jaundice that first appears within the first 24 hours of life be regarded?

1. AAs pathological until proven otherwise; it needs prompt evaluation
2. BAs harmless as long as the baby is feeding well
3. CAs breast milk jaundice that is best treated by stopping breastfeeding
4. DAs normal physiological jaundice that needs no follow-up

Which nursing measure is most helpful for an infant with bronchiolitis?

1. ARoutine antibiotics
2. BHolding all feeds until the infant improves
3. CGentle nasal suctioning before feeds and monitoring of hydration and oxygen saturation
4. DLying the infant flat on the stomach to sleep so that secretions can drain from the airway

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. BA written allergy action plan, with in-date auto-injectors and trained staff
3. CAllowing the child to eat only foods brought by classmates
4. DKeeping the auto-injector at home, so that it cannot be lost or misused by other children

Which instruction about using an adrenaline (epinephrine) auto-injector is correct?

1. AInject it into the buttock muscle and then let the child walk it off at home
2. BUse it only after an antihistamine has failed to work
3. CInject into the outer thigh, through clothing if needed, and call emergency services
4. DInject into the upper arm muscle, but only after removing all the clothing first

Which finding in an infant with suspected reflux needs prompt medical review?

1. AHiccups after feeds that settle on their own
2. BSpitting up more after a large feed
3. CSmall posseting after feeds in a contented, growing baby
4. DPoor weight gain, refusing feeds and blood in the vomit

A 12-year-old with asthma has been prescribed a preventer inhaler (inhaled corticosteroid) to take every day. Which statement shows a need for further teaching?

1. A"I use my spacer with my inhaler, even at school."
2. B"I carry my reliever inhaler with me everywhere I go."
3. C"I stop taking my preventer inhaler whenever I've had a few good days."
4. D"I rinse my mouth after using my preventer inhaler."