Pediatric nursing worksheet with answers

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 must take antibiotics first
3. CVaccines must be postponed for 4 weeks until the child is well
4. DThe child should receive only half the dose

Which finding on examination is typical of pyloric stenosis?

1. AA swollen abdomen with no bowel sounds at all
2. BA soft bulge at the belly button when crying
3. CAn olive-shaped mass in the upper abdomen
4. DA tender mass in the left lower abdomen

When should a child with cystic fibrosis take pancreatic enzyme capsules?

1. AOn an empty stomach in the morning only
2. BOnly when stools are loose
3. COnce a day at bedtime
4. DWith every meal and snack

Which stool pattern is typical of Hirschsprung disease in an older child?

1. APale, bulky, fatty stools that float and are hard to flush, with a large appetite
2. BNormal stools with occasional itching around the anus at night
3. CChronic constipation with thin, ribbon-like, foul-smelling stools and distension
4. DFrequent bloody diarrhoea with fever after eating chicken

Which signs suggest a child is ready to start toilet training?

1. AReaching the first birthday and being able to walk, whether or not the child shows any interest
2. BStaying dry for about 2 hours, showing interest and being able to follow simple instructions
3. CSaying the first word
4. DBeing able to walk

A child with type 1 diabetes is unconscious from hypoglycaemia at school. What should be done?

1. AGive the child's usual dose of insulin
2. BGive glucagon and call emergency services
3. CLet the child sleep and check again in an hour
4. DGive a glass of orange juice by mouth

The parent of a child on chemotherapy calls to say the child has a temperature of 38.5 °C (101.3 °F). What is the correct advice?

1. ABring the child to hospital straight away for assessment and IV antibiotics
2. BWait until the next clinic visit, as fever is common
3. CGive paracetamol (acetaminophen) and call back if the fever lasts more than 2 days
4. DGive a cool bath and keep the child at home

A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?

1. AHigh sodium, high glucose, low albumin and low urea
2. BHigh potassium, high phosphate, high uric acid and low calcium
3. CLow haemoglobin and low platelets with a normal potassium
4. DLow potassium, low phosphate, low uric acid and high calcium