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

Why is head circumference measured at routine checks in the first years of life?

1. ATo check for dehydration
2. BTo monitor brain growth and detect abnormal head growth early
3. CTo calculate medication doses
4. DTo estimate the child's future height

What is usually the first sign of puberty in girls?

1. AFirst menstrual period
2. BBreast budding
3. CUnderarm hair
4. DRapid weight loss

Which nursing action is correct for a newborn receiving phototherapy?

1. ACover the eyes, expose as much skin as possible and monitor temperature and hydration
2. BStop feeds during phototherapy so that bilirubin falls faster
3. CApply a moisturising lotion to the skin before each session to prevent drying under the lights
4. DKeep the baby fully dressed under the lights to prevent heat loss

How is a child's weight status (for example overweight) assessed?

1. AWeight alone, compared with the average weight of children in the same class
2. BBMI compared with the adult cut-off points
3. CWaist size compared with the parents' waist size
4. DBMI plotted on an age- and sex-specific centile chart

How should the nurse measure the heart rate of a 9-month-old?

1. ACount the apical pulse for a full minute
2. BRead it from the pulse oximeter only
3. CCount the carotid pulse for 30 seconds and multiply by 2
4. DCount the radial pulse for 15 seconds and multiply by 4

After hypospadias repair, a toddler has a urinary catheter. Which nursing action has priority?

1. ALimit fluids for the first days so that less urine passes over the repair
2. BKeep the catheter draining freely and check for kinks or blockage
3. CClamp the catheter for a few hours to train the bladder
4. DRemove the dressing on the first day to check the wound

Which child should the nurse assess first at the start of a shift?

1. AA 10-year-old with a leg cast who says it itches
2. BA 2-year-old with bronchiolitis: respiratory rate 68/min and marked chest retractions
3. CA 6-year-old after appendectomy with pain rated 4 out of 10
4. DA 4-year-old with gastroenteritis who is drinking oral rehydration solution