Pediatric nursing worksheet with answers

What is the cause of Hirschsprung disease?

1. AThickening of the muscle at the outlet of the stomach
2. BInflammation of the bowel lining after a viral infection
3. COne part of the bowel telescoping into the next part
4. DMissing nerve (ganglion) cells in part of the bowel

Which respiratory rate range is typical for a healthy toddler (about 1 to 3 years) at rest?

1. AAbout 24 to 40 breaths per minute
2. BAbout 6 to 10 breaths per minute
3. CAbout 12 to 16 breaths per minute
4. DAbout 60 to 80 breaths per minute

What causes respiratory distress syndrome in preterm babies?

1. AA viral infection caught from the mother
2. BAn allergy to the oxygen used in the incubator
3. CInhaling meconium-stained fluid during birth
4. DA lack of surfactant in the immature lungs

A child with suspected appendicitis is waiting for surgery. Which action must the nurse avoid?

1. AGiving IV fluids as prescribed
2. BRegular pain assessment
3. CKeeping the child nil by mouth
4. DPutting a heat pad on the abdomen

A child with a myelomeningocele has a neurogenic bladder. Which management is usual?

1. AClean intermittent catheterisation
2. BWaiting for bladder control to develop naturally
3. CA permanent catheter left in place for life
4. DRestricting fluids to reduce urine volume

A child has impetigo. Which advice helps to stop it spreading?

1. AUse separate towels, wash hands often and keep nails short
2. BShare flannels and towels so the whole family is treated
3. CCover the crusts with a thick layer of petroleum jelly and leave them
4. DPick the crusts off daily so the skin heals faster

A 3-year-old who was toilet trained starts wetting the bed during a hospital stay. The parents are worried. What should the nurse say?

1. ARegression is a common response to the stress of hospital and usually passes; do not punish the child
2. BThe child should be put back into nappies permanently, and toilet training should not be tried again for years
3. CThis proves the child has a serious kidney disease
4. DThe child is being naughty and should be told off

A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?

1. APreterm babies never reach normal milestones, so no follow-up is needed
2. BHe is clearly delayed and needs urgent neurological referral
3. CMilestones are judged by corrected age, here about 3 months, so this is expected
4. DMilestones are always judged by chronological age, so he is 3 months behind