Pediatric nursing worksheet with answers

Which feature is typical of whooping cough (pertussis) in an older child?

1. AA wheeze heard only on breathing out, with a runny nose
2. BBouts of coughing that end with a "whoop" on breathing in
3. CA barking cough and a hoarse voice that are worse at night
4. DDrooling, a high fever and difficulty swallowing saliva

Which finding suggests hydrocephalus in an infant?

1. AA rapidly increasing head circumference with a bulging fontanelle
2. BA small head with a closed fontanelle at birth
3. CA sunken fontanelle with dry mucous membranes and few wet nappies
4. DA flat area on the back of the head

Which type of play, with shared goals, rules and roles, is typical of school-age children?

1. AOnlooker play
2. BSolitary play
3. CCooperative play
4. DParallel play

A child's tonic–clonic seizure has stopped and she is drowsy. What should the nurse do?

1. ALeave her alone in a dark room to sleep it off
2. BGive her a drink straight away to prevent dehydration
3. CPlace her in the recovery position and monitor airway and breathing
4. DWake her fully every few minutes and ask her to stand up and walk around

Which is the most accurate way to monitor fluid status in an infant with gastroenteritis?

1. AAsking the parent each day whether the child seems thirsty or tired
2. BChecking hair texture
3. CMeasuring head circumference
4. DDaily weight on the same scale, together with wet nappy counts

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

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

A healthy breastfed baby has lost 7% of her birth weight on day 3. What is the best interpretation?

1. AThis shows breastfeeding has failed, so formula should replace breast milk from now on
2. BThis is within the usual range; observe a feed and follow the weight
3. CThis is severe dehydration and needs immediate IV fluids
4. DThis weight loss is only normal in formula-fed babies

Two healthcare rescuers are giving CPR to an infant. Which compression technique is recommended?

1. ACompressions with one finger over the upper sternum
2. BBoth hands placed one on top of the other over the upper abdomen
3. CBoth hands interlocked over the centre of the chest, with arms straight
4. DThe two-thumb technique with the hands encircling the chest