Pediatric nursing worksheet with answers

Which symptom is typical of scabies?

1. ALarge blisters on the soles of the feet after walking
2. BPainless red patches that slowly spread outward over months
3. CIntense itching, worse at night, with burrows between the fingers
4. DDry, flaky scalp with dandruff but no itching

Using the common 100–50–20 rule, what is the daily maintenance fluid requirement for a 10 kg child?

1. A1500 mL per day
2. B1000 mL per day
3. C500 mL per day
4. D2000 mL per day

According to Erikson, what is the developmental task of the preschool child (about 3 to 6 years)?

1. AIntimacy versus isolation
2. BIndustry versus inferiority
3. CTrust versus mistrust
4. DInitiative versus guilt

Which statement about patient-controlled analgesia (PCA) for a child is correct?

1. AThe nurse should press it every 5 minutes, day and night, to keep the pain away
2. BParents should press the button whenever the child is asleep
3. CAny visitor may press it if the child seems uncomfortable
4. DOnly the child presses the button, unless a protocol says otherwise

Which daily monitoring is most useful for a child with nephrotic syndrome?

1. ABlood glucose before and after every meal
2. BPeak flow and oxygen saturation every morning
3. CHead circumference and fontanelle tension
4. DWeight and urine dipstick for protein

Which instruction about a child's new plaster cast is correct?

1. AKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
2. BKeep the limb raised and report increasing pain, numbness or pale or blue fingers
3. CPush a knitting needle inside the cast to scratch an itch
4. DLet the child walk on a leg cast as soon as it is applied

Which IV fluid is usually used for a fluid bolus in a child with shock?

1. AAn isotonic crystalloid such as 0.9% sodium chloride
2. B5% glucose in water, given as fast as possible
3. C10% glucose solution
4. D0.18% sodium chloride with 4% glucose, given quickly

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