Pediatric nursing worksheet with answers

Where does neuroblastoma most often start?

1. AIn the lining of the bladder
2. BIn the bone marrow of the pelvis
3. CIn the white matter of the brain
4. DIn the adrenal gland

Which transmission-based precautions are used for a hospitalised child with chickenpox?

1. ADroplet precautions only, in a shared bay
2. BContact precautions only
3. CAirborne and contact precautions
4. DStandard precautions only

Which finding in a jaundiced 3-week-old suggests biliary atresia?

1. AGreen stools after starting iron drops
2. BPale, watery urine and frequent wet nappies
3. CPale, clay-coloured stools and dark urine
4. DBright yellow, seedy stools

Which diet is usually recommended for a child with cystic fibrosis?

1. AA low-protein diet to reduce the work of the pancreas
2. BA low-salt diet to protect the heart and kidneys from damage later in life
3. CA high-energy, high-fat diet with fat-soluble vitamin supplements
4. DA low-fat diet to reduce greasy stools and abdominal pain

Which child should generally not receive a live vaccine such as MMR?

1. AA child with a mild cold
2. BA child with severe immune suppression, for example during chemotherapy
3. CA child whose sibling has a cold
4. DA child who is currently taking oral antibiotics for an uncomplicated ear infection

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. CShakiness, sweating, pallor and a sudden change in behaviour
4. DThirst, passing large amounts of urine and a fruity breath smell

The parents of a child who is being resuscitated ask to stay in the room. What is the best response?

1. AAllow them to stay if they wish, with a staff member to support and explain
2. BAsk them to leave, because their presence always harms the team's work
3. CTell them to wait outside in the corridor until the resuscitation is over
4. DAllow them to stay only if they help with the compressions

The mother of a 5-day-old breastfed baby asks how she can tell her baby is getting enough milk. Which answer is best?

1. AThe baby should feed for exactly 10 minutes on each side at every feed, day and night
2. BThe baby should sleep through the night without waking for feeds
3. CHer breasts should always feel full and hard between feeds
4. DAbout 6 or more wet nappies a day, regular yellow stools and steady weight gain