Pediatric nursing worksheet with answers

Which sign may be the first clue to retinoblastoma in a young child?

1. AA droopy upper eyelid that appears after a cold
2. BTears running down the cheek on one side
3. CA white pupil in photos instead of the usual red reflex
4. DRed, itchy eyes with a sticky yellow discharge

What is the general advice about rear-facing car seats for young children?

1. AKeep the child rear-facing for as long as possible, within the seat's height and weight limits
2. BTurn the seat forward as soon as the child can sit up without support, whatever the child's weight
3. CTurn the seat forward at 6 months for every child
4. DRear-facing seats are only needed for newborns

Which illness causes a bright red rash on both cheeks, often called "slapped cheek"?

1. AMeasles (rubeola virus)
2. BFifth disease (parvovirus B19)
3. CScarlet fever (group A streptococcus)
4. DImpetigo (staphylococcus)

What is the main purpose of medical play with a doll and real equipment before surgery?

1. ATo teach the child how the surgeons will do the operation
2. BTo keep the child busy so the nurse can do other work
3. CTo test the child's intelligence
4. DTo let the child express fears and gain a sense of control

A child is receiving IV morphine. Which assessments are most important?

1. AHead circumference and fontanelle tension
2. BRespiratory rate and level of sedation
3. CPeak flow and inhaler technique
4. DBlood glucose and urine ketones

At about what age do most children understand that death is permanent and happens to everyone?

1. AAbout 2 years
2. BAbout 4 years
3. CNot until about 18 years
4. DAbout 9 to 10 years

A child with a central venous catheter for chemotherapy develops fever and rigors shortly after the line is flushed. What should the nurse suspect?

1. AAn allergy to the saline flush
2. BA catheter-related bloodstream infection
3. CA blocked line that needs more forceful flushing
4. DA normal reaction to the chemotherapy

A child develops the "slapped cheek" rash of fifth disease. The parent asks whether the child is still infectious. What is the best answer?

1. AThe illness is not infectious at any stage
2. BYes, for 6 weeks after the rash appears
3. CYes, until every trace of the rash has faded from the cheeks and limbs
4. DUsually not; the child was most infectious before the rash appeared