Pediatric nursing worksheet with answers

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

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

By about what age has a healthy infant typically doubled their birth weight?

1. A2 years
2. B1 month
3. C4 to 6 months
4. D12 months

What should the nurse tell a child about hair loss from chemotherapy?

1. AIt happens only if the child washes and brushes the hair too often
2. BIt is permanent, so a wig will always be needed
3. CIt means the chemotherapy is not working
4. DIt is usually temporary, and the hair grows back after treatment

How should a nurse approach a health interview with a 15-year-old?

1. AInterview the adolescent with friends present for support
2. BTell the adolescent that everything said will be shared with the parents to keep them informed
3. CSpend part of the visit alone with the adolescent and explain the limits of confidentiality
4. DSpeak only to the parent

A 3-day-old has a red, swollen eyelid with a heavy discharge of pus. What should the nurse do?

1. AClean the eye with breast milk and review in a week
2. BArrange prompt medical review, as infection from the birth canal is possible
3. CApply an over-the-counter steroid eye ointment
4. DReassure the parents that sticky eyes are always harmless in the first weeks of life

If the MMR and varicella vaccines are not given on the same day, what is the general rule?

1. ASeparate them by at least 4 weeks
2. BGive the second within 24 hours of the first
3. CSeparate them by at least 1 week
4. DNever give both vaccines in the same year

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

1. A"I'll put a spoon in his mouth so he doesn't bite or swallow his tongue."
2. B"When the jerking stops, I'll turn him onto his side."
3. C"I'll move hard objects away and put something soft under his head."
4. D"I'll time the seizure and give the rescue medicine if it lasts too long."

A baby born at 28 weeks is now 6 months old. He is not yet sitting without support. How should the nurse interpret this?

1. AMilestones are always judged by chronological age, so he is 3 months behind
2. BHe is clearly delayed and needs urgent neurological referral
3. CPreterm babies never reach normal milestones, so no follow-up is needed
4. DMilestones are judged by corrected age, here about 3 months, so this is expected