Pediatric nursing worksheet with answers

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

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

Which measure is a mainstay of daily eczema care?

1. AApplying emollients generously and often, even when the skin looks clear
2. BTaking long, hot baths with bubble bath every evening
3. CApplying emollients only when the skin is very inflamed
4. DUsing perfumed soap twice a day to remove bacteria from the skin surface

Which teething remedy is generally recommended for infants?

1. AA clean, chilled (not frozen) teething ring
2. BA gel containing the local anaesthetic benzocaine
3. CAn amber teething necklace worn day and night
4. DRubbing honey on the gums before sleep

Which signs suggest hypoglycaemia in a young child with diabetes?

1. ADeep, rapid breathing with abdominal pain and vomiting
2. BA slow onset of dry skin and flushed cheeks over several days
3. CThirst, passing large amounts of urine and a fruity breath smell
4. DShakiness, sweating, pallor and a sudden change in behaviour

Which injury in an infant is most suggestive of physical abuse?

1. AA greenstick fracture of the forearm after a fall from a slide
2. BA scraped knee in a 3-year-old
3. CPosterior rib fractures
4. DA bruise on the shin of a walking toddler

Which non-drug technique suits a 5-year-old during a cannula insertion?

1. ADoing slow breathing exercises with a numeric scale
2. BBeing left alone so the child can concentrate
3. CBlowing bubbles or looking at a pop-up book
4. DReading a detailed leaflet about the procedure

A 3-month-old is gaining weight poorly. The mother says she adds extra water to the formula to make each tin last longer. Besides poor growth, what serious complication is the nurse concerned about?

1. ALow sodium from water intoxication, which can cause seizures
2. BHigh blood glucose from the sugar in the diluted formula, causing diabetes
3. CHigh sodium from too much powder, which causes dehydration
4. DVitamin K deficiency bleeding from the extra water

A toddler has burns on both feet and the buttocks, with sharp "stocking" lines and no splash marks. What should the nurse consider?

1. AA skin infection that looks like a burn
2. BSunburn from playing outside in a paddling pool on a hot day
3. CPossible deliberate immersion; follow the safeguarding procedure
4. DAn accidental spill from a cup of tea