Pediatric nursing worksheet with answers

Which resting heart rate range is typical for a school-age child (about 6 to 12 years)?

1. AAbout 150 to 200 beats per minute
2. BAbout 120 to 170 beats per minute
3. CAbout 70 to 120 beats per minute
4. DAbout 40 to 60 beats per minute

By about what age does the anterior fontanelle usually close?

1. A4 to 6 years
2. B2 to 3 months
3. C12 to 18 months
4. DAt birth

Which finding inside the mouth is typical of early measles?

1. AKoplik spots: small white spots on the inside of the cheeks
2. BPainful blisters on the tongue, gums and palate
3. CA thick white coating on the tongue and cheeks that can be wiped off
4. DA bright red "strawberry" tongue with large papillae

A child with ITP has a low platelet count. Which advice is correct?

1. AAvoid contact sports and medicines such as ibuprofen and aspirin
2. BPlay rugby and football as normal to stay active
3. CUse a hard toothbrush and floss firmly to keep the gums healthy
4. DTake aspirin for any pain to thin the blood

Which growth chart finding in a 10-month-old most needs further evaluation?

1. AHead circumference that follows the 75th percentile curve
2. BWeight that has stayed on the 10th percentile since birth
3. CWeight that has fallen across two major percentile lines since the last visits
4. DLength on the 50th percentile and weight on the 40th percentile

A child has just spilled hot tea on his arm. What is the correct first aid?

1. ACool the burn under cool running water for about 20 minutes
2. BHold ice directly on the burn for about an hour to stop the pain
3. CSpread butter or toothpaste on the burn
4. DBurst any blisters to let the heat out

Which practice most reduces the risk of errors with high-alert medicines such as insulin or opioid infusions in children?

1. ARounding doses up to the nearest whole number to keep things simple
2. BAsking the child's parent to look at the syringe and confirm that the dose looks right
3. CAn independent double check by a second nurse before giving the medicine
4. DChecking the dose only when the drug is given for the first time

Which child is most appropriate to assign to a practical (enrolled) nurse?

1. AA 5-year-old just back from tonsillectomy who keeps swallowing
2. BAn infant with bronchiolitis who needs more and more oxygen
3. CA 9-year-old newly admitted with diabetic ketoacidosis on an insulin infusion
4. DA 7-year-old 2 days after an appendicectomy, stable on oral analgesia