Pediatric nursing worksheet with answers

Why should aspirin generally be avoided in children with viral illnesses such as influenza or chickenpox?

1. AIt causes immediate kidney failure
2. BIt makes vaccines ineffective
3. CIt always causes allergic reactions
4. DIt is linked to Reye syndrome

Which four features make up tetralogy of Fallot?

1. AVSD, mitral stenosis, coarctation of the aorta and an enlarged left atrium
2. BPatent ductus arteriosus, VSD, ASD and transposition of the great arteries
3. CASD, aortic stenosis, patent ductus arteriosus and left ventricular hypertrophy
4. DVSD, pulmonary stenosis, overriding aorta and right ventricular hypertrophy

When can a child stop using a booster seat in the car?

1. AWhen the adult seat belt fits properly across the shoulder and upper thighs
2. BWhen the child starts primary school and can sit still for a whole journey
3. CAt 4 years of age, whatever the child's height
4. DAs soon as the child can fasten the seat belt alone

Which finding is expected in a healthy 4-month-old?

1. AHolds the head steady when held upright, with little or no head lag
2. BPulls to stand while holding on to furniture
3. CSits steadily without support for several minutes while playing with toys
4. DSays two or three clear words with meaning

Which drink is best for a child with mild dehydration from gastroenteritis?

1. AOral rehydration solution
2. BCola or other fizzy drinks
3. CSports drinks
4. DUndiluted apple juice

A 15-year-old seems very low in mood. Is it safe for the nurse to ask directly about suicidal thoughts?

1. AYes; asking directly does not increase the risk and helps find those who need help
2. BNo; asking about suicide may put the idea into the young person's head and raise the risk
3. COnly if the parents give written permission first
4. DNo; only a psychiatrist is allowed to ask this question

Which child should the nurse see first?

1. AA 4-year-old with asthma who can say only one or two words between breaths
2. BA 6-year-old with asthma whose peak flow is 85% of his best after salbutamol
3. CA 2-year-old with croup who has a barking cough but no stridor at rest
4. DA 5-month-old with bronchiolitis who has an oxygen saturation of 95% and is feeding

The nurse has taught the parents of a child with sickle cell disease. Which statement shows a need for further teaching?

1. A"We'll call the hospital straight away if she has a fever."
2. B"We'll dress her warmly before she goes out in cold weather."
3. C"In summer she can drink less so she doesn't need the toilet at school."
4. D"We'll learn how to feel her tummy for an enlarged spleen."