Pediatric nursing worksheet with answers

Free printable Pediatric nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

Which newborn scalp swelling typically crosses the suture lines?

  1. ACephalohaematoma
  2. BCaput succedaneum
  3. CPositional plagiocephaly
  4. DCraniosynostosis
2.Easy

What are the three classic stages of separation anxiety in a hospitalised young child?

  1. AProtest, despair, detachment
  2. BFear, trust, independence
  3. CCrying, sleeping, eating
  4. DDenial, anger, acceptance
3.Easy

What is usually the greatest stressor for a hospitalised toddler?

  1. AFear of death
  2. BMissing school
  3. CChanges in appearance
  4. DSeparation from parents
4.Medium

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

  1. APeak flow and oxygen saturation every morning
  2. BBlood glucose before and after every meal
  3. CWeight and urine dipstick for protein
  4. DHead circumference and fontanelle tension
5.Medium

Which measures are central in managing a vaso-occlusive (pain) crisis in sickle cell disease?

  1. AIron supplements
  2. BFluids, effective pain relief and oxygen if the child is hypoxic
  3. CFluid restriction to protect the kidneys and cold compresses on painful areas
  4. DStrict bed rest without analgesia
6.Medium

Which is a true contraindication to a further dose of the same vaccine?

  1. AAnaphylaxis after a previous dose of that vaccine
  2. BRedness and soreness at the injection site after a previous dose
  3. CA low-grade fever after a previous dose
  4. DA family history of allergies
7.Hard

A toddler with sickle cell disease suddenly becomes pale and lethargic, with a fast heart rate and an enlarging left upper abdomen. What should the nurse suspect?

  1. ASplenic sequestration crisis, an emergency
  2. BA simple viral infection with mild anaemia
  3. CConstipation causing abdominal swelling and discomfort
  4. DA pain crisis in the abdominal muscles
8.Hard

A child on a morphine infusion is very hard to wake, with a respiratory rate of 8 per minute and pinpoint pupils. What should the nurse do first?

  1. AReduce the infusion rate slightly and recheck the child's breathing in an hour
  2. BLet the child sleep, as this shows the pain is controlled
  3. CStop the infusion, support breathing and give naloxone as per protocol
  4. DGive a sedative to keep the child calm

Answer key

  1. 1. B · Caput succedaneum
  2. 2. A · Protest, despair, detachment
  3. 3. D · Separation from parents
  4. 4. C · Weight and urine dipstick for protein
  5. 5. B · Fluids, effective pain relief and oxygen if the child is hypoxic
  6. 6. A · Anaphylaxis after a previous dose of that vaccine
  7. 7. A · Splenic sequestration crisis, an emergency
  8. 8. C · Stop the infusion, support breathing and give naloxone as per protocol

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